|
.,,
<br /> DigiS ign Verified: 73501FF8-8C73-4A E7-A B36-55 D5C057B I B9
<br /> ECEINE
<br /> MAR 21 2019
<br /> BUMl'ILo'11,4'5(--;,')1\I Cr'
<br /> ,..,„ .
<br /> NIAR1ON COUNTY 1.13131,1(:'WORKS
<br /> III111,1)1NG irs1;11'1“-i-roN DivisioN
<br /> ' ... --iii. ..7,-.•,.q,i''S 5155 Silverton Rd NE
<br /> Salem OR 973115
<br /> (503)588-51,17 IritY(503)58S-79411
<br /> ,, I/ws
<br /> at I pilv.cip.marbin.zonmirWilluildinginspeelion ...
<br /> , ... . , ..„_.„.....„ _ _ .. -... . . . .4 , . ..
<br /> NOTICE AUTHORIZING REPRESENTATIVE .!
<br /> , .,i1- u
<br /> i, R.14-4ritd.D.pot9,6 -ii E '.- IV ,_ .. V RGt1 0 d Abl i 1 1„jcr.,hire all(itiit ind
<br /> 5.ft '$ liVii'31
<br /> ,-- I 44)0.0*wt.L.Pktot.
<br /> 10, .tt:[1a. L.:460:ff to act as my agent in performing the
<br /> (Aultitirlidit Represontittis4ii'rtint isitunc)
<br /> net ivities necessary to obtain site CV1111.1111j011S,periltilS,and oilier onsite wastewater tleatinent program
<br /> services provided by the Department of Environmental Quality or County Agent on the property
<br /> described below in accordance with OAR eliapfer 340,division.071,
<br /> vtanmirrv.tavonFICATII)Nt
<br /> —5. ,t . : tj : .,. , m-if ci
<br /> 1 i2 5., ., tic:-10. - .A,1J- , ,, . ' .I/ 012 73W
<br /> . PtopeIty'St Akio;gtretit..AiltIre .
<br /> And described in the record of lyORIQH.County ns:
<br /> /6 ,, „V ‘,
<br /> 1.esnl 1)eseription44,7411,,,:takrq,jrkp q .kita,,_ ruxi.oi#(i) (247zf2_y :000,
<br /> AI.
<br /> prionotlyAtkitsmti ,.
<br /> ,. .,. .. . ,
<br /> R.- ketin: .1. It j::. _,I,t . 5 A .3, ,t,Re , ,, , .,
<br /> 1 • 1 I- -
<br /> VrititimiNntnel" lt ...;.. ' tt.,.!.00 6t,..f. '4 .4- _ti_.01..t3 _Au._ •_ to 'A t. ,:votiTituli
<br /> .1i.itiolookg: .r. ...,.._...,::, .,-4224z-;:ti ; 176%;Pt.-4 f4iitcl apt 9.
<br /> I, _... .
<br /> ,
<br /> .,:-..........AP, , .....g:f - Pliiiii615.i.53,58 -0 7-27
<br /> . . :
<br /> 6ty,.$44cilfg r.41.7i13.. I.,01; .04 . 373 )
<br /> Barnit.Attdicics, .. . _ .
<br /> . .
<br /> lititrf toitIZI(S1,14.4P4t1CitiOttAytYlilt
<br /> , .
<br /> ..-tr 11,,,,
<br /> Printed Name: 'Rex 1,-..,uti. ,... 8
<br /> 4: rrv-N.,.... ...
<br /> , .
<br /> comr.,No..:
<br /> Datu:2!--1-111 — , ,
<br /> si Ar rat my: Rio 4, . 4-4.4r, ' P.
<br /> A thircss:,Por 86K -.1(...., phunc; o?..7.$67 , 4/301
<br /> cii„st,ov, yi 0.Milli: ab .of...4130.q. Fux:
<br /> (1,,, .„ :ei, . ,,,,,
<br /> ,.,....ti,Atkire„ .rex Jed(1 ein Zia 0, c-ottek
<br /> i)F.c.,,, Licit1) c li, 0.11 1
<br /> 0,\ )i ',''1I'(10,z-f)d',10/to Ayilly e.rn
<br /> htc:.:".;egi Clive 0:111i)
<br />
|