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MARION COUNTY APPLICATION FOR <br />ON-SITE SEWAGE DISPOSAL <br /> <br /> RURAL AREA <br />This application must be accompanied by: <br /> <br /> 1. <br /> <br /> 2. <br /> 3. <br /> <br />CONSIDERATION <br /> <br />A detailed site plan of the proposed development of the property. (See attached <br />instructions) <br />A copy of the site evaluation soils inspection for the property. <br />Plan and cross section drawings &the proposed system. Show sufficient detail so <br />that this office can make a determination as to the adequacy of the proposal. <br /> <br />DATE: <br /> <br />NAME: <br /> <br />ADDRESS: <br /> <br /> City State <br /> <br />PHONE: (al& qt-/j ,zq6o o_~4 'z~,S- <br /> <br />Zip <br /> <br />LEGAL DESCRIPTION OF SUBJECT PROPERTY: <br /> <br />EXISTING SITE EVALUATION ACTMTY NO: <br /> <br />TAX LOT #: ~rvo .; TOWNSHIP: 5'.5o .-aq RANGE: / xo~s¢; SECTION: <br /> <br />PROPERTY SIZE: &~ Acres ZONING DESIGNATION: <br /> <br />Signature of Applicant <br /> <br />~e~ve~t-by: Ma~on County <br /> <br />date r~eived <br /> <br />NOTE: Marion County Planning Department must verify that this property meets the zoning <br />requirements for Rural Area Consideration. <br /> <br /> <br />