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111/ <br /> ECENEIN <br /> JUN 14 2022 <br /> f . adwAFtioN c <br /> oo <br /> MARION COUNTY PUBLIC WORKS LDi G i ,p�\.1 <br /> ,�� "' "`,, • BUILDING INSPECTION DIVISION <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> (503)588-5147 Fax(503) 588-7948 <br /> http:/hvww.co.rnarion.or.us/PW/BuiIdingInspection <br /> NOTICE AUTHORIZING REPRESENTATIVE <br /> 1, Owen Von Flue, for Noble Built Homes, LLC have authorized <br /> (Property Owner/Print Name) <br /> Lone Pine Corner Septics Inc. to act as my agent in performing.the <br /> (Authorized.Representative/Prim Name) <br /> activities necessary to obtain site evaluations, permits,and other onsite wastewater treatment program <br /> services provided by the Department of Environmental Quality or County Agent on the property <br /> described below in accordance with OAR chapter 340,division 071. <br /> PROPERTY IDENTIFICATION: <br /> 2664 Bodhi Lane NE, Salem, Oregon 97305 <br /> Property Situs or Street Address <br /> And described in the records of MARION County as: <br /> Legal Description PP2022-21 - Parcel 2 Tax Lot#(s) 072W13CB00700 <br /> PROPERTY OWNER: <br /> Printed Name: Noble lit Homes, <br /> Signature: .p .,� Date: 5-24-2022 <br /> Address: P.O. B. 571 ---Phone:503-973-7698 <br /> City,State, Zip Silverton, Oregon 97381 Pax:NA <br /> E-mail Address vonfluelaw@hotrnail.com <br /> AUTHORIZED REPRESENTATIVE: <br /> Printed Name: <br /> Company Name: Lone Pine Corner Septics, Inc. <br /> Signature: Date: <br /> Address: 8778 Cascade HWY NE Phone:503-873-7157 <br /> City,State, Zip Silverton, OR 97381 Fax: <br /> E-mail Address LONEPINESEPTICS8778@gmail.com <br /> nan r :__ _- .0 37n ___ 77(la'2 <br />