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srrE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Situs Ad~rcss: , /~ ~ ~ L~ ~ r ............... <br /> <br />Block:· tq Subdivision:, <br /> <br />He)u: <br /> <br />Tax Account t/: <br />Zone: R $ Map: <br />See: I T I 0 ~ Range: <br /> <br />No. Acres:..5oe, o s? ,c:r' <br /> ................ F......:....._W..,i........i.......T......7..,,,i........ <br /> <br /> · ................. ~ """"l'"'""i ......................... i'"'"'"~ ............... !'"" '?"'"'-'i" <br /> <br /> Scale: <br /> Drawn By: <br /> I certify that thc abovo information is accurate to thc best of my knowledge, <br /> <br /> Applicant (Plo. nsc Print) <br /> <br /> FOR OFFICE USE ONLY <br /> <br /> PLUG: Dam: <br /> P~LIC WO~S: ....... . Dam; <br /> <br />M~:gS-~ B~LD~G ~SPE~ON: Dam: <br /> <br /> <br />