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Marion County <br /> <br /> OREGON <br />COMMUNITY DEVELOPMENT <br />DEPARTMENT <br /> <br />PROPERTY OWNER: <br /> <br />SITE ADDREES: <br /> <br />SITE NU~BER: <br /> <br />SEPTIC SYSTE~ CERTIFICATZON <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 propoeed~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 /> <br />tory manner at this time. <br /> <br /> ~-~operty owne~/authorized agent) <br /> <br />NA~E (please print) <br /> <br />HAZLING ADDRESS~ <br /> <br />MC15-S38 <br />P~V 3/93 <br /> <br /> <br />