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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be complemed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />(show all <br /> <br />.tails and dimensi6ns <br /> <br /> No~th <br /> <br />FIL <br /> <br />necessary to loca~e~'a~l.:components of ~he system in the future) <br /> <br /> (for Marion County use only) <br />The above sepuic system has been inspected by Marion County. The information has been determined <br />to be accurate and the system is: <br /> Approved <br />Approved with >rrections: see inspection report <br />Denis( <br /> Title: Date: // ~ <br /> WHITE:Marion Co~ty; YELLOW;Owner; PINK:Ins~ <br /> <br />MC-LB-S41 <br /> <br /> <br />