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Serial No. 9-78mS <br /> <br />Subsurface S~wage Disposal <br /> <br />220 HzI. gh Street NE <br />Salem, Oregon 97301 <br />Phone No: 588-5147 <br /> <br />Suction ? - To~hip & j I~. IW ' Tax Lot Number ,1,39000 <br /> <br />The above ~mcribed p~per~y was evaluated on 9~ 7 / 78 , and ~ound to be: <br /> <br />Thi~ approval is siren on the basis that the lot or parcel described above will eot <br />be further partitioned or ~ubdivtded and thac conditio~s on sub~e~t or adjacent <br />properties have no: been altered in any manner whichwould prohibit issuance of a <br />pe~m~ under the D,E.Q. $ubsurfa=a Sewage Disposal Rules. Any such subdivision, <br /> <br />Spatial Conditions of Appz~val: <br /> <br />Sewage 4fsp~ pe~ n~er 649 ~s berg ~r~ered from a different area on <br />Nat~a~ly~ th~ pe~t w~11 not be v~ foe ~e o~1 s~te. <br /> <br />( ) N__ot Acceptable <br /> <br />(Please see Back for further instructieua) <br /> <br />R~gistered .~aui~arian <br /> <br /> <br />