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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Lot:., Bloak: <br /> <br /> _ ,p ~ <br /> <br />Zone: : Map: <br /> <br />NO. Acres: <br /> <br />Scs]c: <br /> By: / <br />I certify that the above information is accurale to the best of <br />Applicant (Plca.~ Print) ,~/ "? AZ.A/ vi/, m//~/'-/ .5 <br />Mailing Address: /::~ ? 9 ~ / I:///~f ?~//i/d(' Iffy) <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />FOR OFFICE USE ONLY <br /> <br />PLANNING: Dale: <br />PUBLIC WORKS: Date: <br />BUll. DING INSPECTION: Date: <br /> <br />· Phone: <br /> <br />Date: <br /> <br /> <br />