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Environmental t~lth Services <br /> <br />Salem, OregOn 97301 (588-5~46), age~ <br /> <br />To be ~tfmult%ed ~i~h application for <br />building permi~ o~ m0b~le hor~ place- <br /> <br />Application to the De~t of E~virOmmental Q~ity <br />for a permit to Cc~struc~ ~ New or l~c~.~- <br /> <br />Fees: NB - ~.00 ($2~.00 wl~h site evaluation) <br /> <br /> Melvin G. Storey <br /> <br /> 16630 ~ Everet Ct. <br /> <br /> Portland, OR 97230 <br />~ty, ~ate, ~p ~e <br /> <br />Mecticm 6 T 4 R lW <br /> <br />Lot SiZe 5 acres <br /> <br />Rt. 1, Box 60-B, Aurora <br /> <br />New OonstruoZion .... x <br /> <br />Installation will serve: <br /> <br />~ ._m~ber of Livin~ Umits <br /> <br />W=~er Supply: Public <br /> <br />1. Proposed Mubsurface Sewage Disposal S%fst~ Plot Plan <br />2,, Planning Ev~lu~ti~m -- Btlildir~ l~axmit <br /> <br />EH-§7 7/74 D~t~e <br /> <br /> <br />