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~~ ~"' INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br />~ ~ .-- - (_~t~ be completed by system installer) <br /> <br /> AS-BUILT P~ OF CONSTRUCTED SYST~: <br /> <br />{show ail details and dimensions necessary ~o locate all compon~nt~ of ehe ~y~em in ehe future) <br /> <br /> (for Marion County use 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 /> f[ ] Deni~ /~/~ ..... ~ ~'~~~ ~D~t ~/~ <br /> Si~ne~,/f //~ ~ F ~"~%"~.'' Title ~ ' e: <br />~s-buil~f. frm 4/95 - W~ITE:Marion County; YELLOW:Owner; PTNK:Ihstailer <br />MC-15-S41 <br /> <br /> <br />