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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />MC: 15-00 <br />Rev. 11/91 <br /> <br />, Sims Address: ~,,z.~ '- ' '~ · Zone: <br /> <br />Lot:~_.~ Block: Subdivision:. No. Acres: <br /> <br />: .: i <br /> <br />; <br /> <br /> Map: <br /> <br />T Range: <br /> <br />! :' :: i <br /> <br /> cAt!!TARY SEWER <br /> ........ i ....... <br /> i ~and~ approve! ~ <br /> ..... ~ '~t~on::'''" "' <br /> <br /> ..... ~ ........ ~.~..{ ........ ~- ........ ~ ......... ~ ......... i ....... <br />........ } ......... ~. ................. ~ ................................................ ~ ......... <br /> <br /> : <br /> <br />I cert~ that the above information is accurate to the best of my knowledge. <br /> <br /> Phonic- ,, - ...... ~ <br /> <br />Applicant (Please Print) <br /> <br />Mailing Address: <br /> <br />Applicant's Signature: <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br />BLrILDING INSPECTION: <br /> <br />FOR OFFICE USE ONLY <br /> Dale: <br /> <br />Dale: <br /> <br />Date: <br /> <br />pecf <br /> <br />h <br /> <br />.'I~TIi3'N"i ........ t ................ i" <br /> <br /> <br />