Laserfiche WebLink
Marion ~,unty <br /> <br /> OREGON <br />COMMUNITY DEVELOPMENT <br />DEPARTMENT <br /> <br />SEPTIC SYSTEM CERTIFICATION <br /> <br />S~-TE ~U~E~: .... q ~' 'f~(~ 7 <br /> <br />I , hereby, certify that the attached site plan is an accurate <br />representation of the conditions on the above described property, <br />and that any proposed structure/property division, meets all of <br />the minimum setback requirements from the existing septic system, <br />and the future septic system replacement area. <br /> <br />I further certify that I have, to the best of my abilities, <br />thoroughly inspected the septic system and found no evidence of <br />any failure. The system appears to be functioning in a satisfac- <br />tory manner at this time. <br /> , <br />SIGNATURE: _. DATE: V(~ro~ty oJn6r/authorized age~t) <br /> <br />NAME (please print) <br />MAILING ADDRESS= <br /> <br />MC15-S38 <br />REV 3/93 <br /> <br /> <br />