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Lot: Block: Subdivision: No. Acres:. <br /> <br />SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> Zone: Map: <br /> S~: T Range: <br /> <br /> '~ ' D~",,m By:. <br />I ~I~'/l~a, the ebov¢ information is acc~ lo'Ibc b~st of my Imowlcdg¢. <br />A~I~t elm ~t) Phone: <br />M~iHng Ad~s: <br />A~lic~t's Si~: FOR OFFICE USE ON~ <br /> <br /> PLANNING:. Da~: <br /> PUBLIC WORKS: Date: <br /> <br /> BUILDING INSPECTION: ,. Date: <br />M~. I~-~o . . ,. . . <br />~-v <br /> <br /> <br />