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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />scale: 1" = ~9 ~' <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Property Owner (permi=eel <br /> Licensed Sewage Disposal SerVice <br /> <br /> (for Marion County use only) <br />The above septic system has been inspected by Marion County. The information has been determined <br />tg. be accurate And the system is: <br /> [;~ Approved ! ) ! <br /> [ ] Approved w~h.~orreqt~n~: see~inspection report <br />[ ] Denied ~/ / } .~; ;/ /I ~ '~ ,'~ <br />Si~ned :, .l~~/~ Title:~~'-~-~ ' Date: ~_~~ <br /> <br />as-built.frm 4/95 WHITE:Marion County; YELLOW:Owner; PINK:Installer <br />MC-15-S41 <br /> <br /> <br />