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STATE,, OF. OREGON <br /> DEPARTMENT OF ENVTRO~MENTAL QUALITY <br /> <br />CERTIFICATE OF SATISFACTORY COMPLETION <br /> SUBSURFACE OR ALTERNATIVE SEWAGE SYSTEM <br /> <br />OWNER <br /> <br />LOCATION <br /> <br />PERMIT NO. ' ...... <br /> <br />In accordance with Oregon Revised Statute 454.665 this certificate is issued as evidence of satis~ <br />factory completion of a subsurface or alternative sewage disposal system at the above location, <br /> <br /> Sanitarian <br /> <br /> County <br />Date <br /> <br /> <br />