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MARION COUNTY <br /> <br />MARION COUNTY <br />BUILDING INSPECTION ,WATgR C CK qUES <br /> <br /> ADDRESS: ' ,, ~ <br /> <br />SITE EVALUATION FILE NUMBER: ..,[ ~,~ <br /> <br />LOCATION: SECTION: ,{[ ,, , <br /> <br />TAX LOT OR ACCOUNT NUMBER: <br /> <br />TOWNSHIP: <br /> <br />ADDRESS OF PROPERTY: <br /> <br /> The applicant hereby requests a winter water check and hereby grants <br />permission to representatives of Marion County to enter ~he above described <br />property at reasonable times for the purpose of monitoring winter water <br />levels. The applicant understands that winter water cheeks are made during <br />the months of January or February, and during a winter in which normal <br />rainfall has occurred. <br /> <br /> Please return this application to Marion County Dept. of Building <br />Inspection, Senator Building, no, 225, 220 High St. NE~ Salem, Or. 97301, <br />Telephone 588-5147. <br /> <br />SIGNATURE OF APPLICANT <br /> <br />sf~NATURE' OF OWNER, IF 6THER THP~N APPLICANT <br /> <br /> <br />