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SITE PLAN FOR PROPOSED DEVELOPMENT lin MARION COUNTY <br /> <br />Block: Subdivision: No. Acres: <br /> <br />Scale: ·, "" Drawn By: <br /> <br />I c~rtif-y that the above information is accm'ate to the best of my 'knowledge. <br />Applicant (Please Print) <br /> <br />Mailing Address: <br /> <br />Applicant'S Signature: <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />PLANNING: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Date: <br /> <br />Daub: <br /> <br />Da~: <br /> <br /> <br />