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INDIVIDUAL ON-SITE SEWAGE <br /> (to be completed by s~stem installer) <br /> <br />SYSTEM RECORD <br /> <br />BUILDING INSPECTION <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Property Owner (permi[ee) '-'~-~ <br /> <br /> (for Marion County use only) <br /> The above septic system has been inspected by Marion County. The information has been determined <br /> to be accurate and the system is: <br /> <br /> [ ] Approved wi r pection report <br /> [ ] Denied <br /> <br />as-builtlfrm 4/9S w~zTE:Marion county; Y~LLOW:0wner; PZNK:Installer <br />MC-15-S41 <br /> <br /> <br />