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Permit - 1267315
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Permit - 1267315
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Last modified
2/4/2011 10:52:14 AM
Creation date
9/2/2003 3:08:53 PM
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Template:
Permits
Permit Address
7964 MILL CREEK RD SE
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
5524
Permit Doc Type
Permit Document
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MARION COUNTY HEALTH DEPT. -Sanitation Specifications "" l ~ <br />D<~t~ ..... 6.~.7.~ ................................................ .~9.ob£1e home ~.__._~ ~.~, ~ k C.-e~.~____'(~.._~.~:.....~? .............................. <br /> <br />........................................................................................................................................................... ~[)[~ ........ l{~ ll llll I 1~¢;~; }~: .......... ~ [ 1.. iI .............. ~ : ........... <br /> <br />.............................................................. I ~l~ll: ....................................................................................... : III~ III : I lll~ :I ~ :: I .......................... I II ......................................................... <br /> <br /> RECORD OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM <br /> <br />TO BE GOMPL~D BY <br />~?~[~'~ ~ .................... ~.~ ........... ~** ....................................................................................................... ~=o .o ............................. <br />T0 [e~ I ~[~t:){J[ 'ILiving units ......................... ~ .............................. ~edr00~s .................... ~ ................................ <br /> <br /> CLEAN NO. 2 ROCK; <br /> Deptii under tile.............. ~, l~ l~(l: [ il , I incheSl <br /> Depth over tile............... ~',llllTh ...... I '' , ~ ~ <br /> of tile below oriqincl qroqnd sur{c~ce........... Z' ~ .......... inchem <br /> <br />Well ................ <br /> <br /> Lot line; Front [] Side <br /> <br />Reef [] ............................ fl, <br /> <br />Note; rridicate Northerly direction. <br /> Inspection will riot be made until completed form is returned to lqealth Deptl <br /> <br />~OR HE.~¢.'I~I DE~?, US;E) <br /> <br /> <br />
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