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KETUF~ TO: <br /> <br />Salem, Oregon 97301 <br /> <br />DESGR~PTION OF PARCEl, (Attach Plot Plan as ~xhiblc A) <br /> <br />Non-re{umdable $37.50 per lot <br />to be submitted with <br />application. <br /> <br /> 'D~ " "*~ ''; ' · <br /> P~Opos,~ uss o~ pA~C~.L .,.{mn~ q~ H~s~s) ~ ~OT ~ZZ(S):~ ~ ~ro~_, c:. v~.'.~ , <br /> <br /> PRES~NTLY DESI~AT~D ~p US~, ZONING, ~D N~ 0r[DE$I~ATING A~N~: <br /> <br />TEST HOLE REQUI~T~: <br />One Home~ita; You will not need to dig test h~le* mless notified. <br />~-$' ~r Mot* Ho~site$: ~o ~est ~les ~st he prepared on each parcel, 2 ft. by 3 ft..wide <br />~ and ~, deep, and 75 f~. apa~ iu th~roposed area~. <br /> Tes~ hO~le~ ( ) have been prepared (~ will be prepared by : <br /> <br /> i (date) <br /> ~IS REPORT ~S NO't A PE~T. It doe~ no~ eli~ate ~he need fo~ required pl~ing co~is- <br /> sion approval, building, or location pe~. <br /> <br />I HEREBY REQtrEST F~)~/ THE DEPARTMENT OF ~/VIRONMENTAL QUALITY A START OF ~SZ~ILI~ <br />THE ~VE ~OD OF Sk~A~ DISP0~ ~R ~E ~0~ DESCKIBED <br /> <br /> (for DEq o= Age~= ~e only) <br /> <br />Co~nts and reco~enda~fo.s based on Subsurface Site Investigation bY DEQ or Co~tract Age~ <br /> <br />Soil is similar to ~ifton gravelly loam. <br /> <br />Gravelly loam at <br /> <br />Coarse grain material beio~ 36". <br /> <br />Approved Pending cons~ructitm perm/t app/-tcation. <br /> <br /> <br />