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, .., <br /> OD ECEME <br /> From: Sam Murphy Ecomurphy@aol.com D <br /> Subject: evaluation (septic) SEP 142021 LJ <br /> Date: Sep 2, 2021 at 10:32:18 AM MARION COUNTY <br /> To: rickmaurmann@gmail.com SULDING INSPECTION <br /> already had you in my system. crazy <br /> ....ari ,...;•jle.-,:::- MAKION CUM 11(VIIIISIAL:WORKS <br /> BUILDING DISPECFION DIVISION <br /> 5155 Werra!)Rd NE <br /> Salem 0197315 <br /> (503)508-5147 Fax(503)588-79.48 <br /> btrp://www.co.marion.or.usiPW/Balldhignspeetion <br /> 3_ -- <br /> NOTICE AUTHORIZING REPRESENTATIVE <br /> 71-1_64...„, <br /> I. " 1 4-(-c JCI J e-...-‹ l- Z._ --- ,have maim*/ <br /> Flow*Owner!Print Name) <br /> .. C;(.,r•-‘. Litur PA / to act as my agent in performit <br /> (Authorized Representathfc I Print Name) <br /> activities necessary to obtain site evaluations,permits,and other onsite wastewater treatment p <br /> services provided by the Department of Environmental Quality or County Agent on the proper <br /> described below in accordance with OAR chapter 340.division 071. <br /> PROPERTY IDENTIFICATION: <br /> Property Silw or Strout Address <br /> And described in the records of MARTON County as: <br /> Legal Description Tax Lot#(s) <br /> PROPERTY OWNER: <br /> Printed Name: V-24C, IMArate-1/4/( _ <br /> Signati Date: <br /> Address: Phone: <br /> City,State,Zip Fax: <br /> E-mail Address <br /> ALTITIORIZXD REPRESENTATIVE: <br /> Printed Name: (..1..,:nr-,t/t.(,i pA7 <br /> Company Name: '---e4.4.3 7,--", c, <br /> Date:Signatut -- ------- 9—?_----e i <br /> _ <br /> Address: FPO' 'B b k' / ia Phone: _ <br /> City,State.Zip PtUr•ITU,W-e 0(1-- Fax: <br /> E-mail Address 1 -C-e)trx ti r P;', d-1k i -(-?) <br /> DEQ License 4 ' 4=42- ma# ,,, - -----?-- <br /> 3CkLQ:\ <br /> Ec—The\wrAr\N— a.A—DL,,te—r):2A <br />