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En~t~l Health Service~ Divi~io~~ <br />~arion County D~t c~ Public Health <br />~aleu, Oregon 97301 (~), a~mt for: <br /> <br />To b~ ~J~itted with m~licaticm for <br />b~t~ding perrait ~r m~bile l~e place- <br /> <br />l~ait F~es: ~ - $50.00 ($25.00 with site evaluation) <br /> <br />~ ~-~fobile i{c~e __ ~obile I{~mm Park <br /> <br />O~her (e~-~ =) <br /> <br />Pro~ Sul~urfac, e Serrate Dis~ S~stem PlOB Plan <br />Plauraing Evaluati~ ~ ~i!d.ing Pex~a~it <br /> <br />Building Plan~ <br /> <br />I h~reby certify that ~e iu~cu~tiau co~-~ in this <br />to the be~c of ~ knowledge and ~lief. <br /> <br />El, I- 57 7/74 <br /> <br />i~ti~ is trnm ~nd ooz~eet <br /> <br /> <br />