Laserfiche WebLink
SIT~ ADDRESS <br /> <br />INDIVIDUAL ON-SIT-E SEWAGE SYSTEM RECORD <br /> {tn be completed by system installer} <br />*z ~ ~f,'Wf--~-,-~ /~'a , ~M~T ~o,q <br /> <br />North <br /> <br />FEB 2 3 ~ <br />~RIOB COUNTY <br />~IJILDING INSPECTION <br /> <br />(show all details and dimensions necessary tO locate all components of the system in the future) <br /> <br /> (for ~arton County us~ 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 /> <br />Signed: Title: Date: <br /> <br />~s-built.frm 4/95 WHITE:Marion County; YELLOW:Owner; PINK:Ins~II~ <br />MC-i~-S41 <br /> <br /> <br />