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SITE PLAN FOR pROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />~ Lo~' Block: Subdivision: No. Acrus: ~ <br /> <br /> ........... ?"I'-----i-----I"--'-~---~ ................ ~-..-..+..--i----.i--.-.,~ ................ ~-........~ ................ ~, ............... ~...-.~ ................ ~-....~..__.L......~. <br /> <br /> .......... :' -"! .......... i ................................... i ~ ,~ ~ ° 'i "~ .......... '"-- '~'"'"' ........................ ==" ................ t--'" <br /> <br />t 2 <br /> <br /> Drawn By: <br />I certify that the above information is accurate to the best of my knowledge. <br />Applicant (Please Print) ~ [[ Ot~A <br /> <br /> _MailingAddress: ~A~,~.~_ , ~ ~ 0~a~ <br /> <br />.... _Applican,'sSigna~e: W~ W ~~ <br /> PLUG: ~ FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Date: <br /> <br />Dat~: <br /> <br /> <br />