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~ INDIVIDUAL ON-SITE <br /> (to be completed <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />scale: 1" -- ~0 ' <br /> <br />SEWAGE SYSTEM RECORD <br />by system installer) <br /> <br /> ?? <br /> ; P~EMiT ~o.--0 <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Date: <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 /> Signe~F /~.'1/[~7~ Title:~~~'~ Date: /~/'~ /~ <br />as-buil~.frm 4/95 WHITE:Marion County; YELLOW:Owner; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />