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Addre~ R~ <br />Lot. ....... Block Addition <br /> <br />Acreoge Properly. <br /> <br />Owner STATE OF OREG(~N Builder_ <br /> <br />Type~Z~C. s~; New/Alter__ COS, $_ <br /> <br />7/21/~ '5 ST 409 STATE OF <br /> <br /> <br />