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SFFE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> SitusAddress: 122;~$ ~¢lo/,~A~ ~ Zone: Map: 92Md2a~ <br /> <br /> Lot: 200 Block: Subdivision:. No.A~res::~ <br /> <br />· :,.-.....i... ,.. "':'"-'i ........................................... ~ ............................................... :'"""":" '" "i '"'"'"~'"'~' "i'""-"r'"'-::-"" '"'""i'"'"'.-'"' 'i ................. i~'" '"" ................ i ................. <br /> <br />Applicant's Signamr~: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PLANNING: Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Date: ,, <br /> <br />Phone: <br /> <br />Date: <br /> <br />--mlT_-E <br /> <br /> <br />