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Marion County <br /> <br />OREGON <br />COMMUNITY DEVELOPMENT <br /> DEPARTM£NT . <br /> <br />PROPERTY OWNER: <br /> <br />SITE ADDRESS: <br /> <br />SITE NUMBER: <br /> <br />SEPTIC SYSTEM CERTIFICATION <br /> <br />I , hereby, certify that the attached site plan is an accurate <br />representation of the conditions on the above described property, <br />and that any proposed 'structure/property division, meets all of <br />the minimum setback requirements from the existing septic system, <br />and the future septic system replacement area. <br /> <br />I further certify that I have, to the best of <br />thoroughly inspected the septic system and found <br />any failure. The system appears to be functioning <br />tory manner at t/h~ time. <br /> <br /> '(~roperty ~wner/authorlzed agent) <br /> <br />my abilities, <br />no evidence of <br />in a satisfac- <br /> <br />MAILIN~ ~DDRESS: <br /> <br />MC15-S38 <br />REV 3/93 <br /> <br /> <br />