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3180 Center S~* NE, ~ 220 <br />Salem ~ O~ego~ 97301 <br /> <br /> tq <br /> <br />D~ART~T (~ ENVIRONMENTAL ~I~ s~. no. 10-7fi-2~ rec. #4062 <br /> <br /> D~SCR~,~{:)~" PARCEL (Attach Plot <br /> <br /> need for r~r~ plang ~t~sion approva%~ ~l~g or ~a~ <br /> <br />locked ~ %he ~es{ p~ of %he D~S~ 10%. <br /> <br />St~ent of DR Relative ~ Above Application <br /> <br /> <br />