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.~ , INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br />.. (to be completed by system installer) __~ 9~_/% ~ ~-- <br /> <br /> AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br /> ~810N GOUNIY North <br /> Bg~LO~NG ~NSpE~T~ON <br /> <br />(show all details and dimensions necessary to locate all components <br /> <br />ft. <br /> <br />of the system in the future) <br /> <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 /> tO be accurate and the system is: <br /> [ ] Approved <br /> ~ Approved with corrections: see inspection report .~ <br /> <br />as-buil~'.frm 4/95 ~HITE:Marion County; YELLOW:Owner; PINK:I~staller <br />MC~15-S41 <br /> <br /> <br />