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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Lot:, _ BlocJ~ Subdivision: No. Acres:, <br /> <br /> ....... ~,.,,..,.+.....,.+..,..,.+...,..+.,.iiJ.....~. ................ !,,..,...~..,..,.+.,..,..~; .......... <br /> <br /> ........ ~.........i.........~.,,~,~........! ................ ~. .i. . .i........L,~ ................. ~. ....... <br /> i'""?'"'"'? ............... ~ ......................... i.: <br /> <br /> I certify that thc above information is accurate to the best of my know!edge. <br /> Appllcant (Please Prin0 M~I,~, J~. <br />Mailing Address: <br />'Applicant's Signature: '"~'/~L ~ ' <br /> FOR OFFICE USg ONLY' <br /> <br /> ?LANNING: Date: <br /> PUBLIC WORKS: Da~e: <br /> <br /> BUR.D~O ~NSPECTiON: Dale: <br /> <br />MC. <br />~v ~/q~ <br /> <br /> <br />