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$IT~ ADDRESS~ <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />AS-BUILT PI~%N OF CONSTRUCTED SYSTEM: <br /> <br />scale: I" = /~ t <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />[~r Licensed Sewage Di$~sal Service <br /> <br />Comp&ny na~e: <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 /> <br />as-built.frm 4/95 W~ITE:Marion County; YELLOW:Owner; PINK; <br />MC-15-S41 <br /> <br /> <br />