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Yla,,r. ion County <br /> OREGON "' <br />COMMUNITY DEVI~LOPMENT' <br />DEPARTMENT <br /> <br />PROPERTY OWNER: <br /> <br />SITE ADDRESS: <br /> <br />SITE NUI{BER: <br /> <br />SEPTIC SYSTEM CERTIFICATION <br /> <br />i , hereby, certify that the attached site plan is an accurate <br />representation of the conditions on the above described property, <br />and that any proposed structure/property division, meets all of <br />the minimum setback requirements from the existing septic system, <br />..~nd the future septic system replacement area. <br /> <br />.p.o. <br /> <br />i further certify that I have, to the best of my abilities, <br />tlloroughly inspected the septic system and found no evidence of <br />.~ny failure, The system appears to be functioning in a satisfac- <br /> <br /> ~roper~ owner/auth6rlzed age,t) ' <br /> <br />~g (please print) <br /> <br />~ILING ADDRESS: <br /> <br />~4C15-S38 <br /> 3/93 <br /> <br /> MAR 21 <br /> <br /> MARION COUNTY <br />BUILDING INSPEOTION <br /> <br /> <br />