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'- ' SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> Loc Block:. Subdivhion: No. Acres:~ <br />':~ ""i""'"' ............... i........~......i........i.~.....s~.~:i~.i~.~...~fiii~...6~-~i~..i~.6.~xi~ .......... '"""i'"-' ................ :? "'i'"'""i" <br />J"'"'"':: ............................................................ ! ~ ,: ~ i :: : ' ': :! :~ ': ': ' ' :i ' :: i ' 'i : k.- '~ <br /> <br />I certify that the above information is accurate to the best of my knowledge, <br />Applicant (Please Print) ~ o~ ~. ~ ."~9,~, <br />Mailing Address: 6 :~ ~ ~ a/nato ['~,. ,~t~ ~., ~ c~ ~ ~ V ~' <br /> <br /> /~ FOR OFFICE USE ONLY <br />PLANNING: <br /> Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Date: <br /> <br /> <br />