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I. FOR CITY USE ONLY <br /> Received By: ,<.., (~ _ <br />Zoning Validation: ~0-XS <br /> <br />SITE EVALUATION AND/OR <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> ~ ~r. I.~pCe~on Linc <br /> <br /> SEPTIC PERMIT <br /> <br />I. CONTRA. CTOR INFORMATION <br /> <br />3. FEES <br /> <br />** I"ee$ include DEQ Sur~horgo ($30.00) l <br />I ~ ~ <br /> <br />+ $100/$00 gallons <br /> <br />$2$/500galBm <br />$25/500 gallons <br /> <br /> Total: O~ <br /> <br />P t ping Cerr licatiol: Attached: (5') (N) <br /> <br /> <br />