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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br />~T~ ~R~S~: <9532., drOm~U.',~r ~' 5~,, A~,lle , ~ ~o. q~- 0~ 107 <br />AS-BUILT P~ OF CONSTRUCTED SYST~: <br /> <br />scale: % <br /> North <br /> <br />R EIVEO! <br /> <br />',J~ ! 6 1997 <br />MARION COUNTY <br />BUILOINO INSPECTION <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br /> ~" <br />.--., si..: ~t,,, "pge ~c.J,1 4D <br /> <br /> Minimum: j~ll M~i~m: ; ~rtain Drain Depth: <br /> <br />[ ] Property Owner (permitee) <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 />[ ] Approved <br />[ ] Approved with corrections: see inspection report <br />[ ] Denied <br /> <br /> Signed: <br /> <br />MC-15-S41 <br /> <br />4/95 <br /> <br />Title: , Date: <br /> WHITE:Marion County; YELLOW:Owner; PINK:Installer <br /> <br /> <br />