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srrE PLAN FOR PROPOSED DEVELOPMENT 1N MAI~tlON COUNTY <br /> <br />No. Acrcs:_ <br /> <br />Loc .......... Bock: , ~utxU visi0n_' <br /> <br />Map: -- <br /> <br /> Applicant's Signature: J- p.r~ ~ ~p ~/~{Yf"'~'_ , ,,. <br />.............. ~ ' ' - Fo~ b"~7~F~ii3~rY <br /> PLANNING: ..... Da~e: <br /> PUBLIC WO~S: Dam: <br /> <br /> MC: 15.~ B~D~G ~SPE~ON: Dam: <br /> Rev. 11~1 <br /> <br /> <br />