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INSPECTION <br /> FOR OFFICE USE ONLY MARION COUNTY~ oRg?30xI~UILDING <br />ZOning V~i~tio~ ~ <br />1. Location oflns/al!atlo~ -~,~ut,,~ t~,*o, .-- <br /> <br /> Sec~ To--ship ~n~ ~u* <br /> <br /> Site Ewlu~fioa~ fir~ 1~0 ~. <br /> <br />Slaada~ Sy~em less [h~ I0~ gM. DSF g4f.00 10.~ ~a~ ~a~m g45.00 10.~ <br />gtandard Syste~,mom ~an 1~ g~. DSF: ~fig ~l] ,, , 415.00 , 10,~ <br />~245 00 + ~15, <br /> <br /> G~w Wat~t wa~ OJ,~k~ump : 1~ ~ 10~ , ,~gs~m Dl~b~n ...... 350.~ 10.00 <br /> g~ing Tank 245.00 10,~ ~u~ant ..... 245,~ 10.~ <br /> <br /> Tile Dewate~n~ S~stem .... } 350.00 10.~ ~palr, ~t~infiel~) I l ~.~.,, 10.~ <br /> I Rop~?, ~n~t (~k) 7~.~ 10,00 <br />~00 ~at. D~< 1001 mi, DS~ t9~.06 ,~ COU~ao. .... Pe~t Ren~ (Hdd V~it) ., 'i'~0,.00 10,00 ........ <br /> <br /> (~* 86ND ~Ir,~S~ ~tion P~t R~n~l ,{No ~i~ld Vi~) 8~p0 I0.~ ..... <br /> (For ~h addition~ <br /> <br /> R~pai% Minor' 75~ 10.~ Aulh~iOR N~ ~o Field visit) , gS,~ )mOO <br /> Cons~ion ~e~it Re~ow~/~ Vii~3 ' ~ 1 $0.~ I0.00 ~X ~fl~g S~cm EE~o~on ,,, 1~0,~ 10,,0Q , <br /> <br />~i*~i~g Sy~m Eval~ioe Re~ : 1~0-~ ...... [,0,~ Ann~ ~o~. or ~sh~,~{ 90.~ ,00 <br />~nnual EvaluM~g ~fAltgm~ve 8~Nm 150,~ I0,~ <br /> <br />(Mark if Applioahie to thil Appliratloa) } Trot Holes a~ Dug <br /> ) [ w{}t call when Te~l 1'10}~$ Dug <br /> <br />) I a~n p~r forming work on a pVape ny ! own oz ~y <br />) I am a mgi~te¢od builder or ( ) the ~th0fiz~d ~m~n~ive <br /> <br /> ~ceipt NO. <br /> <br /> /((1-510 <br />NdffVIE ~F APPLICANT (plea~ print): <br /> <br />SIGNATURE OF APPLICANT: DATE: <br /> <br />MC 15-SI REV 2/93 <br /> <br /> <br />