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MARION COUNTY HEA[TH EPT. -Sanitation Specifications <br /> 9~8~75 ,~ ~ Number <br /> <br /> Issued :o Jim Durant 981-9692 , p~o~ty ASdtes~ Rt. 1~ ~x 248~ A~ora <br /> <br />SubsuHoce dispOsol held required <br /> <br /> ~ECORD OF INDIVIDUAL S~AGE DISPOSAL SYSTEM <br /> <br />iNS IALLEB S NAMZ Add~s~ , /~ ~ .Phone No.~/-- <br /> <br />Dlst~:nce between lines / ~) it <br /> <br />('LEAN NO 2 ROCK <br /> <br />Distance from <br /> <br /> Well ~ ft <br /> <br /> Lot line:: F~nt [] Side ~ Pear <br /> <br /> (FOR I~ALTH DEPT. USE) <br />S t ~l,.~m <~p~:.~ :~[l ~7~~ :1. ~: ~W.~...~.~nf~ioD ~ti~fc/¢,o~lty and is therefore approved ~ Disapp~ved [] <br /> <br />Rorn~rk~ ~~ ~~ <br /> <br /> <br />