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4-22-77 <br /> <br />MARION COUNTY HF_~_~TH DEPT.-Sanitation Specifications <br /> <br />pe~mi, :ssue<J ~o Phil Hanson ~ 67~r5355 ..p~oper, y ad~m~¢ Rt. ~ I, Box 25, Aurora <br /> <br />RECORD OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM <br />TO BE COMPL~D ~Y IN~TALL~ ~ ~ <br /> <br />Rear [] ....... ft <br /> <br />Lmnqth Of e~¢h lmr~ ~ <br /> <br />CLEAN NO 2 MOCK <br />Depth under tile ~ ......... m¢~e~, <br />De~th over tile '~-- inches, <br /> <br />Signature of Installer <br /> <br /> (TOll I~ALYH DEPT. USE) <br /> <br /> will ~ ~fll not 0 function smlsfaetorily ~nd Is therefore approved ~ Dmopproved <br />System <br /> <br />RION CO ~EA D]E~A~TM~IT~ <br /> (~ANITARIAN} <br /> <br /> <br />