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C. OIVlIVlUNITY DEVP. LOPIvlENT C~ ........ <br /> CITY %'AL]~)ATION~ 2.85 CXlt,'tch St l~B · ~ 132 ~=~' ' ~: ' <br /> · ~ s~, OR ~30{ D~e <br /> R~v~ b~~ { : <br /> <br />1. LOCATIONOF ~ST~ON ~v,~,~ ._.)--~,O ~'i=~ON O ~D~ON O~TIONQ <br /> <br />'lED WIT'H~ 180 DAYS OP ISSUANCE OR <br />wo~ 15 $u~P~ FOR 180 DAYS. <br /> <br />2,A. COAti. ACTOR INSTALLATION OI~Y <br /> <br />~;~Ad~ P. O. Box 567, Scio,OR. 97374 <br /> <br /> ]FOR OWNB'R INSTALLATIONS <br /> <br />Prup,rly Owner d~lea~ print) <br /> <br /> PLAN R.BVII~W S]{CTION <br />~not ~quire a plan revie <br />We will provide plan.review sen,ke if you complete <br />s~eu~ ss and ~ubm~t ~o (2) se~ of plans ~d <br />~plicafi~n. ~ <br />~15~1 <br /> <br /> <br />