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<br /> NOTICE AUtilokIZING-REPRESENTATIVE• . .
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<br /> l':: ' :17-!>'Crj, ,..S2,!;!iL,' !! :', . -'''..E!:''''',.!", •''''' , to act as-my agent in perfonnii
<br /> (Authorized Representative I print Natne)J,.E,,.:!C,E,:!,:•!'.!.'"'',!!!!,''' „"....
<br /> activities necessary to obtain site evaluations,ijOrtnjts;and other prisite wastewater treatment p.
<br /> I! services provided by the Department ottayii-ob**tg444tyfore).iimty Agent on the proper
<br /> described below in accordance With OAR chapter 340;:difisien 07 L
<br /> PROPERTY MEN 11.FWATION: !. ';',7 1::'.-,' -. ii2,:;;f,'-'' i: . :,,' ..•r•::',:',: ,
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<br /> And described in the records OFfMAR..16V!riiii* s',.';'.--( ''''' , '':•:' ,,.''-'-:::::::., ' „ - .
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<br /> Signature: L-- , ,...52_,„--- L••742::i,n:,! '•:"-::•: -! '! Date:
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