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SESPNEW - 1455345
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SESPNEW - 1455345
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Last modified
2/11/2010 11:47:15 AM
Creation date
7/21/2004 11:05:18 AM
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Template:
Permits
Permit Address
11278 SIMPSON RD SE
Permit City
Aumsville
Permit Number
555-96-05556
Parcel Number
081W20 01300
Permit Type
SESPNEW
Permit Doc Type
Permit Document
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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: F~'L ~'~..L.C~WT'~ <br /> <br />scale <br /> <br />! <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 (permitee) <br />[~"Licensed Sewage Disposal Service <br /> <br />(please print) <br /> <br /> (for Marion County use only) <br /> The above septic system has been inspected by Marion County. The information has been determined <br /> t~be accurate and the system is: <br /> [~Approved <br /> ~] Approved with co~ections: see inspection report <br /> <br />MC-15-S41 <br /> <br /> <br />
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