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Permit - 1304029
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Permit - 1304029
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Entry Properties
Last modified
4/4/2011 11:20:30 AM
Creation date
9/4/2003 4:25:14 PM
Metadata
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Template:
Permits
Permit Address
9393 PORTER RD SE
Permit City
Aumsville
Permit Number
94-04515
Permit Type
Permit
Permit Doc Type
Permit Document
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,L <br /> <br />PHYSICIAN'S CERTIFIG_L_.~T.I_O.,~ "%~:'.,- % <br /> <br /> A.< ' .... th~. Marion County Rural Zoning OrdinanCes2 <br />provide' ~.,,~,~,~>~.,=.,~. ..... ~+~=.- -- -- ~dditional hOmesite <br /> <br />po~sibl <br />be cem~ <br />120.0401. "- <br /> <br />This is tO certify that Minnet Wallace is a patient <br /> (Please Print or Type Name of Patient) <br /> <br />of mine and is phys~caJiy handicapped due to <br /> <br />chronic shoulder, bursitis~ trochanteric bursitis <br /> (Please Print or Type Brief Explanation of Condition) <br /> <br />It is my feeling that this physical condition requires care and attention <br />and the above-narhed person should be permitted to reside nearby one <br />who can give aid and comfort when the need arises. <br /> <br />Case <br /> <br />Signature ';' ~/~~---/ ,,, <br /> Thomas A. VAn Vee~', M.D. <br />Name <br /> (~rlnt or Type) <br /> <br />Address.. 584'N. Third Avenue <br /> St~ygon, OR 97383 <br />Date 10-11-94 <br /> <br /> <br />
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