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MARION COUNTY HEALTH DEPT.-Sanitation Specifications :! ,,, ~ <br />~ Z~,-2~-~6 .......... . ................ ~u~,,, ................................................ <br /> <br />Permit Issued To: ...... ~..,~.~.9~. ................................................. p~y Xdd~s~ ..,,.Rt.,...R...~X..lgD., A~.or.a ............... <br /> <br />Sub~urf~ <br /> <br /> RECORD OF INDIVIDUAL S~WAGE DIS~SAL SYSTEM <br /> <br />CLEAN NO. 2 ROCK: <br />Depth under tile .................................... inches, <br />Depth over ~le .................................... inches, <br /> <br /> Depih ol tile b~Io',v original ~muad surface ................................... <br /> <br />Dl~Ic.r~co from; <br /> <br /> %&'ell ........................................ ft, <br /> <br /> L~t ll~e: Front ~ Sicie [] Re<ir n ........................... It, <br /> <br />DATE ................................................... $ign~ture of In~t~lie: ............................................................................................ <br /> (}'OR B~LTH DI;I~I'. USI9 <br /> <br /> <br />