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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Tax Ae~.ount #: <br />Zone: /~/'~ Map:,, <br /> <br />No. Acre~: <br /> <br />I certif7 that ~e above information is/~ccurate to the best of my~Imowledg~. <br />Applicant (Plea~Print) ~0 ~-~/C ;~ /~/q .~T~ /S' 0'7~2'~ Phone' <br /> <br />PLANNING:, <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Date: ..... <br /> <br /> <br />