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INDIVIDUAL ON-SITE SEWAGE SYSTEM <br /> (to be cc~pleted by system installer) <br /> <br />AS-BUTLT PLAN OF CONSTRUCTED SYST~: <br /> <br />show all detai~/~-~nd dimensions -- <br /> <br />--[oca~"all <br /> <br />RECORD <br /> <br />i /4 <br /> <br />the <br /> <br /> J <br /> <br />:r-lo/ <br /> <br /> I <br />in the <br /> <br />{please print ) <br /> <br />Date <br /> <br /> (£or Marion County use onl~) <br />The above septic system has been inspected by Marion County. The information has been determined to~e accurate and <br /> FILE <br /> <br />MC15 WHITE County; <br />Rev 4/98 <br /> <br /> <br />