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J'~AR(ON COUNT'( <br />8U~LDiNG iNSPECT[ON ~!t~ ~Az~' c~c~"~q~Sz <br /> <br /> N~ OF ~PL~C~T: ~/~ ~ ~.. <br /> <br /> SITE EVALUATION FILg N~ER: <br /> <br /> LOCATION: StCTION <br /> <br />TAX LOT OR ACCOUNT MUggiER: <br /> <br /> The applicant hereby requests a winter water check and hereby grants <br />permissio~ to representatives ~f :.Marion County to enter the above described <br />property at reasonable times for the p~rpo~e of ~oniCoring winter water <br />levels_ The applicant understand~ that winter wa~r checks are ~a~e during <br />~he mon[h~ of January o~ February, and during a winter in which normal <br />rainfsll has occurred. <br /> <br /> P].~a~e return this application ~o Marion County Dept, of Building <br />Inspec~%on~ Senator Building, no. 225, 220 High St. NE~ Salem~ Or, 97301, <br />Telephone 588~5147. <br /> <br />SIGNATURE OF APPLICAIqT <br /> <br />OWNER, <br /> <br /> <br />