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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION couNTY <br /> <br /> Map: <br /> <br />T Range: <br /> <br />Scale: 1"= ~O0' DrawnBy: <br />I certify that the above information is accurate to the b~st of my knowledge, <br /> <br />Applicant (Plcasa Print) Darrel Bethel Phone: 769- 28,,74 <br />Mailing Address: PO Bo~623, Sta~ton, OR 97383 <br />Applicant's Signature: _ .... Da~e: ~7/~[~ ~ ~ <br /> <br />FOR OFFICE USE ONLY <br /> <br /> PLANNING: Date: <br /> PUBLIC WOKKS: Date: <br />lC: 15-60 BUILDING INSPECTION: .... Dale: <br />er. 11/91 <br /> <br /> <br />