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DATE <br /> <br />THE SEPTIC TANK AT 5745 .H~well PrairieL <br /> ..... Shaw, Oreggn <br /> <br />WAS PUMPED BY <br /> <br />Stm~t~q~ Mill City & Silve{ton Septic Services <br /> <br />ON 10/17/95 <br /> <br /> X (BACKFILLED) <br /> <br /> TME OLD TANK WAS (REMOVED) OR <br /> Boulder <br />WITH {~ ROCK), (SAND). <br /> <br />THE SEPTIC TANK PUMPING RECEIPT IS ENCLOSED. <br /> <br />STAYTON MILL Ci1"Y & <br /> <br />PERMIT ~ 95-15066 <br /> <br /> 0 C T 1 8 199~~ <br />MARION COUNTY <br />~UILDING INSPECTION <br /> <br /> <br />