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MARION COUNTY BUILDING INSPECTION
<br />COMMUNITY DEVELOPMENT CENTER
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<br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670
<br />Office Hours: 8:00.4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904
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<br />DATE/TTHE
<br />TYPE
<br />OCCUPANCY
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<br />1~:17
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<br />SITE EVALUATION APPROVAL
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<br />APPROVAL HO : 95-1485~
<br />STATUS : APPROVED
<br />APPROVED : B2/27/1996
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<br />PAGE 2
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<br /> S[l-E FVA J~TT )1,1 ~,~ F ~ )VAL
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<br />~h:is proper~'y ,has b?r, pva?na~t:,d for the 'fPo~:ib~:!~!"~' of' {:'he ~.ns'la:~lat:~on of a sep'l'ic
<br />sys~Jm ~:or a F,I}i4Hi-:Rf.[~L ,)u'il. dinq sJ.~. Based on ch~ r~sL~].cs ot' this
<br />~,i',pr:,v~l ~ orarie'!. "he ap:~rova~ is s~'e s~pc:ifJc ~o 'Lh(- area t[~st'e(i~
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<br />Ti~J~, apl:n'ova:l ~ (~Jven on the bas~, that' fha, lot or parcel wi)l no't be '¢ur'ther par"~.~'bim'led
<br />,:" s*[d'lvir~.~,: ,~f~: 'lhat: o 'd~'l:irr~ rf I:h'ls ryto~f'~y 4iii (T ~cl ace' ~rcoer'~':le~ are fo'c all'ered :i.n
<br />al'iv qsI]]e,f wh:ich WOLt:!d )roh:il*~ the' :issuan~'e bf a-l,(,~r'l~'~. SoiI~:~ i.n-'l'h~ ap)roved area shall riot I:,e
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<br />A d~ta~]ed s~te, p]an, drawn to scale (ex~ ~" = &e"~,, I,~ust be sub~,d't:'bed wi'H3 'the
<br />· ; ~'~sfa ] ;i e('l hy the property om'let or a r eg:i ster~,d ront:r a(:im".
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<br />fhi. s =~i,~¢,) eva I. uat"[of~ rep,)rt' is val. i.d I.tTIt,'i. 1 ,3fl i'm-silo ~ewa{;je syr~t(fM
<br />~on~t-Yur'~,:icm p(=,~.p~:i~ ohtaJne¢, fro~ t:h~s (:','ff~t::~., or Urd'~l caf~ce:iatJ, on ~ur'suant 'l-o 't'he l:~nvironi,~efrt,~]
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<br />C(IHHFIq'I fi AN~)
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<br />I,, I'Iti;S SEF'TIf; RI=.VI:F:W IJA.~; ~ )?"iP I::'I'F:O ~.Y Rf'}I;IERF F'O.':;f'ER
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