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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Loc Block: Subdivision: No. Acres: t~~ <br /> <br />Range: "~, <br /> <br /> SITE <br /> <br />i ceni~ that the above information is accurate to the besl of my knowledge. ~ ~ <br />Applicant (Pleas~ Print]t ~7~.J./y.v' / .~' ~::r /t~ -~r'~ (7/1../ Phone: <br /> <br />FOR OFFICE USE ONLY <br /> <br /> PLANNING: Dam: <br /> PUBLIC WORKS: Da~e: <br /> <br />MC: 15-60 BUILDING INSPECTION: Dam: <br />Rev. 11/91 <br /> <br /> <br />