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SITE PLAN FOR PROPOSED DEVELOPMENT iN MARION COUNTY <br /> <br />Lot: ....... Block: .......... Subdivision <br /> <br />Tax Account ~: .~-6 <br />Zone: --~ Map: <br />Sec: _-,~ 'l T <br />No. Acres:__,_,~' <br /> <br />Scale: Ir t:~ .% &oo~ <br /> <br />D-rawa By: <br /> <br />I certify tht~t g~¢ above information i$ accun, te t,~ :h,' ' f my ~owledge. <br /> ' ' n ' " ," -',-~ ~.,~ .... <br />Applic~t (Pl~se ~int) ~_.~ ~_~(~ tt,,~f~.~ .......... Phone: .7.~_.r · <br /> <br />Applicant's S/gna:urn: <br /> FOR OFFICE USE ONLY <br />PLANNING: .................................................. Date: ~ .............................. <br />PUBLIC WORKS: ............. Da~: ............. <br />BUII,D~G ~SPE~ON: .~ Dam: ..................................... <br /> <br /> <br />