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Marion County <br /> OREGON <br />COMMUNITY DL~VELOPMENT <br />DEPARTMENT <br /> <br />PROPERTY OWNER: <br /> <br />SITE ADDRESS: <br /> <br />SITE NUMBER: <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 />and the future septic system replacement area. <br /> <br />I further certify that I have, to the best of my abilities, <br />thoroughly inspected the septic system and found no evidence of <br />any failure. The system appears to be functioning in a satisfac- <br />tory manner at this time. <br /> <br /> (~ ~ r~ ~wner/auth°rized agent) " <br /> <br />MAILING <br /> <br />MC15-S38 <br />REV 3/93 <br /> <br /> <br />