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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />LO~' ~- Block: ~z.&o~, Subdiv/sion:~No_Acre.~: ~ ~ <br /> <br />Tax Account #: ~/o - <br /> <br />Zone: Map: 05', <br /> <br />Sec: .z~ ~ T ~ Range: <br /> <br />MC: 15-60 <br /> <br />I certify that the above information is accurate to the best of my knowledge. <br /> <br />ApplicantOPlea.~thint) ... ~/~ /'7" ~,'/o~, <br /> <br />Applicant's Signature: <~77~-~ "'~'//~ ~ Date: ~ ./e. ~,,2, <br /> FO[~ OF~I'CE USE <br />PLANNING: Date: <br />PLF~LIC WORKS: Date: <br />BULLDOG INSPECTION: Date: <br /> <br /> <br />