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~oo~ <br />Z<z,;. ~z C,*y. ~ ~ ~:~i~Jpm 24 HR lns~c6o ~ I nc _773~27 F~X 588-7~ <br /> <br /> Ptease comp~l~ all Secttons, I ~rou~h 5 ' I e~}d~ o i <br /> <br />3. PLAN RIL¥ IEW SECTION <br /> <br /> Marion County does not reqmre a pllm review, We will provide plan <br /> <br />MC [5-34 R.~v 9/98 <br /> <br />Al, Enter total of fees from <br />A2. Add St~tc Surcharge (.05,% <br /> <br />SUBTCH'M <br /> <br />B, Enmr 309b pi tine Al. for Plal~ Re, v~¢w <br /> <br />C Invc.'.agation Fee <br />[~. Reinfection Fee tSS0.~j <br />E, A~Jfion~ Plan Review tS6~,50~. <br /> ~mmum one;half ho~) <br /> <br />H. Indus~at Pi~[ ($~.50~r, <br /> <br />rO?AL AMOUNT DUE <br /> <br /> <br />