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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Tax AcCount #: z/,rgD } "~:'JC;, <br /> <br />Zone: Map: <br /> <br /> Lot: Block subdivision: NO. Acres: <br /> <br />';'"'"'"?'""'"~'"'"'+'"'"'"r ......... '"'"' 'k'"""'~'""'"';'"'""?-'"'";' "'""~""'""~'"'""';'"'""?'"'"";'"'""~ ......... ~'"'""~' "-'"'~'"'""t'""-"~'"'""*"-" '~"'""'¢'""...'' "'~',''''' .. · ...'y · · ': <br /> <br /> I ce~fy that the above information is accurate to the best of my knowledge. <br /> Applicant (Please Print) <br /> <br /> Applicant's $ gnature <br /> <br /> PLANNING: , <br /> <br /> PI.J~L1C WORKS: <br />MC: 15-60 BUILDING INSPECTION: <br /> <br />Dale; , <br /> <br />Date: <br /> <br />Date: <br /> <br /> <br />