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Lot U P~ Block:~ Subdivision: <br /> <br />SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Sec: 2_% <br /> <br />No. Acres: <br /> <br />TaxAccount #:~7~'- (~ S <br /> <br /> Map: O~- ? <br /> <br /> Range: <br /> <br />!: 15-60 <br /> ~1/91 <br /> <br />Applicant (Please Print) <br /> <br />Mailing Address: <br /> <br />Appllcant's Signature: <br /> <br />~Zgo 13czfS0rn Dr. $. <br /> <br /> FOR OFFICE USE ONLY <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />l~te: <br /> <br />Dam: <br /> <br />Date: <br /> <br /> <br />