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Name of Appl, icant: _AKATY KONEV - Donald M. Kelley, Attorney <br /> <br />Site Evaluation Serial ~u~er: 78-12-D <br /> <br />Location: Section: 8 To. ship: 4 Range: 1W <br /> <br />Tax Lot or Account Number: 144-231 <br /> <br /> The applicant hereby requests a winter water, check and hereby grants <br />permission to representatives of Marion'County to enter 'the above described <br />property at reasonable times for the purpose of'monitoring winter Water <br />levels. The applicant understands that winter water'.~hecks are made during <br />the months of January or February, and during a winter is which normal <br />rainfall has occurred. <br /> <br /> Please return this application to Mario~ County Health Department, <br />· Environmental Heal. th Service¢ Divisiom, 3180 Center St. NE, Room 220, Salem, <br /> Oregon. 97301, Telephone 588-5346, <br /> <br />Signat..r/ ap ie 'nt <br /> <br />Signature of Owner, if other than applicant <br /> <br />].no....._..at~ exac'b ].ocatio;*~ (add,ess ~¢ possib].e~ o:z' 8.raw map)" <br /> <br />JAN 1;5 1,978 <br /> <br />MARION ~ ' '""': <br />~UtLDINO IN,~ ' ....... <br /> <br /> <br />