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51TE PLAN FOR PROPOSED DEVELOPMENT IN MARION C~I3NTY ,. <br /> <br />Proper~7 Owner: (~R,~C~, <br /> <br />sitm Addt~$: I ,~r) ...."r ~,~ ~ t..~. ~'T <br /> <br />Loc ~ Block: <br /> <br />Zono: ~' .5' Map: <br />Sec: t T iO ~' Range: <br /> <br />No. Acrc~.;. .,.~¢I,~,o .~'-~ <br />'i ......... r '"'"'?'y '"':/'"'"'i'"'"'"C"'"'i'"'"'"~" <br /> <br />Mailing Address: <br /> <br />Appllc~mt's Sign'~mre.: <br /> <br />MC.: .~5.60 <br />R¢6. ~I *,~}~1 <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING I~ISPECTION: <br /> <br />FOR OFFICE USE ONLY <br /> Dam: <br /> <br /> Date: <br /> <br />Scale: <br /> Drawn By: <br />I ¢crtlf¥ that thc above information is accurate to thc I::est of my knowledge. <br />Applicant ('Plens¢ Print) ~_.__.__.__.__.__.~fi-~ ~ .~-~.~,o~.~ O Phone: ~"~'q~'~ / <br /> <br /> <br />