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220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> P~oNE 888-5147 <br />CODE-A-PHONE 4:30 RM. - 8;00 A.M. <br /> <br />¢ONTRA~T Ol'rY: UGB: OO0UP^NT LOA0: <br /> <br />MAP; <br /> <br /> 5: <br /> <br />!'N,'~ ""Or%T(_.?,;0 ¢:D !,iff <br />27:'V/, ~ 2 OF' './~ <br /> <br />NOTEt T,'h{[,,~ ,DOES ,NOT GF~T OR [~PL¥ ~ERI'4RSS..[C_~ TO 8,UR_O ON TH~:S PARC. F_L. C'L,ANN~N¢_-; A.~'4~_ <br />?,~S~?'¢JCT]ON PER~T,S ~tST 8E OBTAINED ~FOR~ ~UILDING OR SEPTIC ]N~TAL;.AT]C~ 8F~GLN:S. <br /> <br /> ~ _ ...................... ' ........ ,,~...., ,.._.-.~, ~:,, :i,¢ <br />":: ,:'5 , , I;;¢, E::h. ................. DA'T~ , ~! ,,' ~ , ...... , , <br /> <br />¢;?,',L!:g:!. :: 2,,':' ~; : c(-'P,,','q3E '""-"?~[\r. 2H <br /> <br />FORM # MC: 15-56 REI/ 11/88 CUSTOMER COPY <br /> <br /> <br />