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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />PropeayOwner: //~ fx/~,,ef-.,~/c,,e. Tax Account #: <br /> <br /> Sec: _ T <br />Lot- C/ Block: Sub&vision:: No. Acres: <br /> <br />Range; <br /> <br />Scale: D~wn By: <br /> <br />I cemfy that the above informauon :s accttmt~ to the best of my knowledge. <br />Applieant (Please Print) c-~c2 o¢ ~ ~- ,c- tc [~ ~- ~- .~' ~-f _; r~- <br /> <br />Mailing Address:., <br /> <br />Applicant's Signature: <br /> <br />.MC: <br /> <br />/ ~ c, ;L 0 ~- c--/ ~ ~-.., /~ '~' <br /> ,, , ~ - _ ~ <br /> <br /> FOR OFFICE USE ONLY <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUII.DING INSPECTION: <br /> <br />Date; ,, <br /> <br />Date;; <br /> <br /> <br />