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MARION COUNTY BUILDING INSPECTION <br />ON-SITE SEWAGE <br /> SITE EVALUATION TRACKING FORM <br /> <br />THE SITE EVALUATION REPORT, WITH SOILS NOTES, HAS BEEN REMOVED <br />FROM THIS FILE AND PLACED IN THE CURRENT FILE WITH THE <br />CONSTRUCTION ! INSTALLATION PERMIT. <br /> <br />Site Evaluation Activity Number: q'-'~ ~)C)q ~7 q <br />Site Evaluafion Address: lq0 ~[~¢d ~- ~T <br /> <br />Site Evaluation Parcel Number: <br />Subdivision Name: ?(3~q Zgtd ~£~Ld LotNumber: <br /> Block Number:~ <br /> <br />The site evaluation file has been forwarded to the following file: <br /> <br />Installation Permit Activity Number: q-~ (5 { q 0 3 <br /> <br />Installation Permit Parcel Number: qO ¢(aO'~o <br />Removed by: '~ [~x-~r~ Date: <br /> <br />MC15-S43 <br />Rev. 7/96 <br /> <br /> <br />