| Contact information |
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| | OWNER: NANCY IVERSON BAIRD 2368 OLD HWY 99 S ROSEBURG, OR 97470 |
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| | OWNER: PARKER REVOCABLE COMMUNITY TRUST WAYNE PARKER 1578 CLEVELAND HILL RD ROSEBURG, OR 97471 |
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| | OWNER: PARKER REVOCABLE COMMUNITY TRUST DELORES PARKER 1578 CLEVELAND HILL RD ROSEBURG, OR 97471 |
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| | OWNER: EGM LLC PO BOX 429 DUNDEE, OR 97115 |
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| Application: S 30483 |
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| | Staff Person Responsible: no caseworker currently assigned |
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| | Received: 12/21/1955 |
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| | Signature: 3/20/1956 |
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| | Staff Person Responsible: no caseworker currently assigned |
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| | Signature: 7/16/2019 |
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| | Type: Remaining |
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Ownership Form Received | 7/12/2023 | |
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| Transfer(s) |
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CW108 (Remaining) | Conserved Water | Approved |
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