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' .. 1 -,..;,•,•---.,;,,,,,7,r,,,,,*404voL,- <br /> .::.•' <br /> ,... <br /> .,„'' • <br /> NOTICE AUTHORIZING REPRESENTATIVE.., 4A.,- <br /> ,, :•::i7'..,' ;',,:',,;;Ii.',': ::, <br /> Ann Amundsen ::,:,::,,:f.1--: ,":,::•'-',,,,,, , 77.ii,:--•,:::,,,f,le,.. ;1,:,,,i1 <br /> ' • ' ' '''' ''-' 'i ''''''ilia 444 P.F 4 1 <br /> ;',.•'•;:.I.',::>':i.',:::?':',11., ''''.'.;i:1Q:,:..; i <br /> i <br /> • -,•• " ,,,,,,, '.:',-;';';;y<, •,:.',,,4',.,•:,;:z.:.- <br /> - . . • ,:-.-,, ',. —--,,-• the. ,,:-..-;::•t-!'i.!. •:',,,,t,,,,xii.,.,1 <br /> I Print Name) jiiilient.,j1kpOi# ..!T: <br /> t' <br /> (Property 7 ,,,_ ,,....4,1,,, to act as .,,,..,; „,;,•.,,<•:''.: '•.'"'!".,::•,,,,;„T::::..,I;i:::;:;••':,':''A.,: ::;!:,;71,,,,.;'," !-,i4;:l <br /> , <br /> ' <br /> rcs".1141 V1/4"/ultUI(' /Print4.‘--Nantes ,.. • ' :•, treatment program ,"-;,:i„::::".4,1 :,:..!(,',.:':`":" <br /> and other onsite.,,Yw&a§Atew-,.„ge4att74,-.:th„:--e;:prepertc.-:".;.,,,x1,..„::::: ::„ 141_,,';',','-i'„'',:ii", <br /> Authonzed Repre e0 nye . <br /> "tolEnvironmental Quality Cr.County„ - .,..,...;,::::,„:.:..,• • .,,,,,,,,,,,,,,,,„,,.••!,„:::::,,":„4:,,,,,iiimif;,,,kii,.4, 4 <br /> t' <br /> f. activities necessary to obtain site evaluations,permits, <br /> services provided by the.Departmen <br /> described below in accordance with OAR chapter 340,division 97 <br /> 1„..:::'.: „;....,".'":". ....."•;;',`, i,",,,,,,:;;;,--;;.::- ' . . .. ;,":I,.. ,'.,;,::„J4d <br /> ,, • , : .., ,:„ -••-::• ,':. ,:..!- .--;,"-"-; ",;" ••.1 .' 't, <br /> • : . ,:,,,.......:::„. --- :.: ..„ , -: r-,-,,-i,-,---:., -,--',,,,,,-..,„:".. ..,.:' <br /> -•-1, PROPERTY IDENTIFICATION:. 97342 <br /> Address ;- ::::':";<.-",:-.;, „ : '; ;-,•:;1,,.,i--',:„: --i;."-1,;':•:.::::,,,,-"f;*'::;,::',',1 <br /> 285 &295 Humbug St.S Detroit, OR . <br /> Property Situs or Street • • •. : , ,.•.;::,•:„.;,;Ji.,"i, :,:, ,:!,..,":k:;.'„4:41-;. ,.."...,1144,,i4,7453:iiii <br /> i 1 <br /> ;;;.;'•;•: , ,-..,:,„ .,, ,,,;;;;,,,7 -: ..,„•,,, 0,-;-:-..1,„,.•I <br /> And described in the records of MARION County:as: <br /> ' ::"::;1:: -..-,,..-'50- .--': .--•',..'r,-•-•,:';• ;,:t;;;;:-':-I <br /> ., <br /> Legal Description Tax Lot#(s) <br /> ,:, ::::.';',:r„„.„,:, •.:,:,:',:,:;qiz,-:,.!•,,'''',•-. ' ''' . '::---'"",'-;'-'-';',-:?';' :1 <br /> •„..•,:::. ; - ::•::'' : ":::'•— . '..,„,. -•,':-•,--.-- ,1 <br /> PROPERTY OWNER: <br /> :,„; ..,,,. ; „-: : :1,;•,,,; .,'.„,;•';,-::',.,.5."•.1 <br />, t. • <br /> Date: 2/18/2022:1 'P,13:a. 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". , <br /> SigTiattlrel:::owymc4An <br /> t S •Phone: <br /> Fax: •. _ <br /> Address: 285&295 Humbug.8 <br /> City,State,Zip Detroit, OR 97342 <br /> • <br /> E-mail Address 285aha@grnpil.corn <br /> , . • . .... , „..„. „..,, ,..... , <br /> . - - - ' -- ---- <br /> AUTHORIZED REPRESENTATIVE: <br /> - ;.:;;;, :„;:, ,,,::'4,"-;$-.,":.!,,,,.-f:.,„,:: ;„"?:74;<A,Z":":"'•:•;::;19 <br /> .:: ::,, IVH,..:".:. .;;;,.k:".•'•;;44H"'',.';'•.:"•'!,Z -;";":;',::',: ;',P,'•;.,'.:1',,h,:I <br /> Q vlic_v-Or'--\ <br /> : ,,•:-,, ",'..,--,,: :,.?:,;., '!::.,:,,.,i••;.:4',A.:11i,l,';e:,). <br /> Printed Name: _ _ (\so,/s <br /> . : .,:E.,•:':, , .• ';'- •'„:::': ; ':„ •:7•'.•••,,;,',;-`::,':;2.*.Nike;":":":"„;.,!; . <br /> ,...er_o , .4,,,,.-e,...,: r._ c5:----1,. <br /> - . -,. -:::,,,•,:,",q,•,,Q,140.0,20,1.4.4;!":i <br /> _ /::::,'..;;,,, •, :,:,,,,,,,*,:-.;„:4„,tr...1,111,•71.g.,,z",f;.telst,-!„" <br /> Company Name: <br /> Date: 2.2/4412:2:-;-"I'..":''''",',.:,;;,1",..2"''..t: •':.,V:,4032-Ffil <br /> (---- ' ' <br /> t,•„,,.. , •.-;,,,,,,,,•:,!i50,41,,,:t1r4:41'._2•.,!'f":;01i.' <br /> •(< ----;.),52 ot.,,,,LtrIA?.:..L,::; <br /> Signature: '-'3"-- 4/"-7-76-1 <br /> Phone.-,,,...;..,„ ",;: ,,-,,-,:;--.-P';',::".•,:-,.,,,":Vr. eit., ;:t:;.-4,4,.-•:‘,„;•tf' <br /> 7, i.3 1 Lir)i <br /> ,•-,:',,,y.:::?c,,4it?,y;,',2.,,,,,,..„,,,,:,:',,:;amiti:,J3.,,t,t,,,, ,,,,Fii <br /> Address: -1'.1.!. 4:1< <br /> '').-37,.-C <br /> It ki 0-: , <br /> :. - ..::::...,,,,J1.:-;":0-14f„-- ',.;:4;; •!!•47.:!:;*7-;:;-:-..s:i**, ;:t:',14",1::& <br /> City,Slate,Zip /47.'1.44-sti' ' <br /> ; .:;• .. .,:,1„;;: :;!:',,T-.:f,-A-:,-----,--,-,4.%---:-,-:,-„•--,''.' <br /> Fax <br /> E-mail Address E(„...,1/1_LeA), Lcctliar, -1.4:::a - ' ,,,...). ,,-,7 -.7).:. <br /> CCB# .- 61.„Lf--&-110::-U-'. ,'::: ,---;•.1j*P.,-„77:,•::::„. .::,,. „ :!...f..-,!,:,,;;:v.„ci.:; <br /> , . : „ .,..,.;.„,;,,;,,:fiK-4-,,,v.:::;,„;„.44,4-ri.„4-,•;:z.„;,"4„.e.:-•'':7.4.;2'7:• <br /> ---,--, -77,--- <br /> . 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