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®.4 .5 l5,1 1J <br /> ED <br /> • <br /> MARION COUNTY BUILDING INSPECTION DIVISION SAI <br /> a. _ 555 Court St NE/PO Box 14500 AUG 2 9 2018 <br /> EN <br /> Salem OR 97309-5036 MARION COUNTY <br /> (503)588-5147 BUILDING INSPECTION <br /> MARION COUNTY BUILDING INSPECTION <br /> WINTER WATER TABLE REVIEW <br /> • <br /> NAME OF APPLICANT: r re O 13A-r5/+E-- <br /> MAILING ADDRESS: 2 075 W/ ti-- 5 r 5"6"l S Z6(1. c37 -02. <br /> FILE NUMBER: SSS- 1b' " 003935 <br /> PROPERTY ADDRESS: - /2 7 &.4-7--E-5 <br /> 6.7/4-7-E5 ci73% <br /> The applicant hereby requests a winter water table review of the above described property. <br /> Permission to enter the property at reasonable times for the purpose of monitoring winter water <br /> table levels is granted to representatives of Marion County Building Inspection. The applicant <br /> understands that winter water table reviews are conducted during the months of December, <br /> January and February.An adequate review may not be possible during years in which we receive <br /> less than normal rainfall. <br /> The application should be returned to this office by November 1 to allow adequate time schedule <br /> requests for the year.Please return to: <br /> • <br /> MARION COUNTY BUILDING INSPECTION <br /> 555 Court St NE/PO Box 14500 <br /> Salem,Oregon 97309-5036 <br /> Phone: (503) 588-5147 <br /> FAX: (503) 588-7948 <br /> grieve FrI-KckTHE-- ,m7417-. 30 +06,2e,-/ <br /> APPLICANT(PRINT NAME) APPLICANT SIGNATURE DATE <br /> SIGNATURE OF OWNER(if other than applicant) <br /> MC:S-37 <br /> rev:8/00 Page 1 of 2 <br />