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M_A~TON COUNTY <br /> <br />NAHE OF APPLICANT: <br /> <br />ADDRESS: <br /> <br />~;INT~R WATER C~IECK KEQUEST <br /> <br />SIT~ EVALUATION FILE <br /> <br />LOCATION: SECTION: <br /> <br /> The applicant hereby requests a winter watmr check and hereby grants <br />permission ~o repre~entativ~s of Marion County tO enter the above described <br />property a~ reasoRable t~-s for the purpose of ~onitoring winter water <br />levels. The applicant u~derSt~nds that wi~e~ watmr checks are made during <br />the mouths of January or February, amd during a winter i~ which normal <br />rainfall has occurred. <br /> <br /> Please return this application to Marion County Dept. of Building <br />Inspection, SenatorSuildimg, no. 225. 220 Nigh S~. NE, Salem, Or. 9730~, <br />Telephone 588-5147. <br /> <br />$IGNATUPdg OF APPLICANT <br /> <br /> <br />