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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br />(to be completed by system installer) <br />AS-BUILT PL~ OF CONSTRUCTED SYST~: <br /> North <br /> <br /> (s,~.,,,,,,,,,.~ll details ~2¢,,.dimensions ne~,essary to locaty all components of,,,,,~he system in the fut~,,ye) <br /> <br /> (for Marion county use e~ly) <br /> The above sep=ic system has been inspected by Marion County. The information has been determined <br /> ~o be accurate and the system is: <br /> <br /> [ ] Approved w pection report <br /> [ ] Denied <br /> Signed: Title: ........ , Date: ~ ~-~, <br />~s-built,frm 4/95 w~IT~:Marion County~ YELLOW;Owner; PINE:Instai~ <br /> <br /> <br />