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PLAN FOR PROPOSED DEVELOPMENT 1~ hrO. RION COUNTY <br />~,o~o,~=.¢3~..~.,~, G 9,,.,~,,4~r ~,,: ,,Io~ ~,~,,~ <br /> <br />Situs Addr~: <br /> <br />Lot: <br /> <br /> " <br /> . <br /> <br />Block: Sulxlivision: No. Acr'~: , <br /> <br /> $lTi: PLAN MUST 81: DRAWN TO SCALF <br /> <br />Scale: Drawn By: <br /> <br />I certify that th~ above information is a~m'a~ to th~ best of my <br /> <br />Applicant's Signature: .~L,* ~ ~ ~" . Date: <br /> FOR OFFICE. USE ONLY <br />PLANNING: Date: . - <br />PUBLIC WORKS: Date: <br /> <br />BUILDING INSPECTION: . Date,: <br /> <br /> <br />