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NAME: <br /> <br />~DRESS: <br /> <br />TAX LOT NO: ~7~g~O_~ <br /> <br />SITE EVALUAT% 0N <br />FILE NO: <br /> <br /> Omi ¢; C / <br />Oe~th.....j <br /> <br />SYSTEM MUST BE INSTALLED AS SHOWN; <br /> <br /> SYSTEM DES%GM <br />Daily Sewage Flow: <br /> <br />Drainfield- u ~_~ <br /> <br />CONMENTS: <br /> <br />Test Holes: <br /> <br />0 TM Acceptable; <br /> <br />able <br /> <br />This document is a <br />to a permit on_~_ if, <br />with applicable <br /> <br />a construction t <br /> <br /> time of <br /> .ged local co~ <br /> Planning Goals. <br />can be issued. <br /> <br />disposal only. It may be converted <br />parcel has been found to be compatible <br /> land use plans and i~lementing <br /> Agent app=owi <br /> <br /> rARIAN: <br /> <br />The proposed site of the sewage system installation has Been reviewed and approved by the <br />Marion County Sanitarian, <br /> <br /> PERMIT NO: <br /> DATE: SANITARIAN: <br /> <br />This permit expires one year from date. <br /> <br />RRF/car <br /> <br /> <br />