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AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br /> scale: 1" : ~O'' D'?u~ <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br /> ; ~T NO. ~A9 ~ <br /> <br />North <br /> <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br />Concrete; [ ] Plastic <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 /> ~(~ Approve~ with corrections: see inspection report <br /> /~ ] Den~ ~ ~ ~ '~/~/~~--~Dat ~//~/~ <br /> Signed Title e: <br /> <br />as-built.frm 4/95 ' WHITE:Marion County; YELLOW:Owner; ~INK:Installer <br />MC-15-S41 <br /> <br /> <br />