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· SIT~iADDRESS': <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer} <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br />(show all det~ls and dime~cessary to locate~ts of th~ system in the future) <br /> <br /> (for Marion County use on1¥) <br /> ~he above septic system has been lr~pected by Marion Cou/%ty. T~e information has been dete=mined <br /> to be accurate and the system is: ~/,~ <br /> [ ] Al)proved <br /> [ ] Approved With corrections: see inspection report <br /> [ ] iDenied :~ <br /> signed: ~ Title: Date: <br />.s-built.frm 4/95 WHITE:Marion COunty; YELLOW:Owner; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />