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[---TECWE .7- 1 <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT J <br /> MAY 17 2023 <br /> siteAddress, 12120 Ingalls Ln NE Woodburn MARION COUNTY <br /> 0s1 W040:10001. Total Acres3o;76 BUILDING INSPECTION <br /> TAXI:dT <br /> .0 Drawn to Scale: .i l Not Drawn to Scale -OR- '1 Square'= feet <br /> [nc�a1C <br /> r� . <br /> lye• APPROVED POR.SEP f IO <br /> . . .. . I INSTALLATIONtONLY" <br /> ` .4e. . . . . . .. . . lt..is the.responsibii�ty th <br /> of t� t✓ <br /> applicant to coordinate these <br /> requirements with all others. <br /> , c <br /> r <br /> {ill;- /05. <br /> \ EL kank v$a <br /> cr 5L&)' k >< V�6a' <br /> • • }: 040 t f . <br /> . .. • mac 3 {7�JX �`• - <br /> r: <br /> 1 <br /> / , iSTATE CERTIFIED • <br /> ,/ (mil .. . _ €nViro2ment@I Health Specialist . <br /> ' s EH-S-1p►227575. . <br /> I, . . - _ . - • Aidaii Banirne s• 1 <br /> 2 '}o <br /> PL. ' ?I- <br /> I certify that the:above informntzon,is accurate to the best of my knowledge.'I,AM THE[ l Owner or[]Authorized Agent. <br /> NAME_(please.print)A—Affordable - j - - ` e Telephone#503-682-1929 <br /> Applicant's—Signature:, . C <br /> Date;i: -J 11 9 3' <br /> Applicant's Mailing Address:PO :BOX 818 <br /> tity:Canby Zip:.97013 Applicant's ;h dessa@jonasconw:con <br /> -S-3I-6-2020 G:1Forms'Septic\FORMS1S 31a.SepticSystemSitePlanRequirements for.S1TE EVAIS_2020-07-20idoc <br />