Laserfiche WebLink
srrE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Sit~sAddrcss: ,~)79./ ]l~ &.~ 12~ ,?Jif Zone: Map: . <br /> ~.J'/~Dt'~- O ,r~_. ~ 7062,2,.,_. Se, c: - ~ ~ T Range: <br /> <br />Lot' Block:__, Subd/vision: __ NO. Acrcs: <br /> <br />Scale: Drawn By: <br />I cemkr~J that the above info.on is accurate to thirst of my knowledge. <br />Applicant (Please Prlnt) _ ~t~J~L ~/~ Phone: /~'k~c~ ~-~ ~o.~~'''' <br />Mailing Address: <br />Applicam's SignatUre: Dam: <br /> <br />MC: 15-0D <br />Rev. 1i/~1 <br /> <br />FOR OFFICE USE ONLY <br /> <br />PLANNING: ~ Date: <br />PUBLIC WORKS: Date: - <br />BUILDING INSPECTION: Date: <br /> <br /> <br />