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Marion County Health Departmmnt <br />Enviror~ental Health Division <br /> <br />Ilr~w fJ~ approximate scale: <br /> <br /> /3,~.ioate northerly direction, <br /> Show lot linez and dimensions of prope~tyo <br />Proposed land division (i£ appli~abi~)~ <br />Proper'by iden~fication (fence lines~ l~ks, adjacen~ property ad~esses) <br />~cation of proposed build~g~ ~d any ~is~g bulldogs, <br />Access fro~ newest ~blic road or s~eet~ <br />~cation of exis~nq o= proposed w~ll~ mid water lines. Also !oca~on of <br /> <br />Di~ec~on of slope and approx~ate slope. <br /> <br />Et-I~S8 7/74 <br /> <br />(signature o~pplicant) <br /> <br /> <br />