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APPLICATION TO 1,..i. $:,. j or'_ o~¢ h oddl I:tOl'u-d t~a~ r,'i. <br /> <br /> · e~reS~vo Doao~-ipzto~: ~xbdivi~ion kno~l as Cascade P~k con.shinE of Block 1, <br /> _1 th~uMh 8 ~d Block 2, lots 1 {h~u~ ';' = <br /> <br /> PROPOS~O USE OF PARCEL <br /> fo~ .flwe Lli~ s <br /> <br /> PROPOSED HET~O~ $~A~ DISPOSAL (C~k ~e ~ ~v~Ee R~q~ed <br /> [] ~tS~inq 5e~era~e System <br /> <br /> ~t~, Z4p Code ..... <br /> <br /> lb) PLane fo~ aeue~s ( )have ( )hao~ no~ baen app*~ved by <br /> <br /> [] .~toposod flew Sewerage ~,~,~m <br /> <br /> ~ SubsurfaC~~~ <br /> <br /> res~ hoZea (~h~v~ bean pre.red ( )~iZ~ be p~pa~d b~ <br /> <br />] HEREBY REQUEST rRorl THE BEPARTHEUT OF EflVIRONI1ENTAL QUALITY A STATS'lENT OF APPROVAL OF THE ADOVE DESCRIDEO HETUOD OF <br /> <br /> ~d~ of AppZ~c~t ,,~)7 ~be~ty Roa,t South ~t~a ,~ <br /> Ci~, 'Sta~e. Zip Code Sal~m~ Or.on 97392 ~ J~u. 16, 197h <br /> (fo~ DEQ Or Age'~$ uaC <br /> <br />Recommend epproval of this subdivision. ~provol of individual lots will be conoitional <br />upon ~eceipt of acceptable plot plans at time ~ptic t~nk pe~it is applied for. <br /> <br /> FOR <br />STATEMENT OF APPROVAL OF ProPOSED SEWAGE ~ISPO~AL <br /> <br /> <br />