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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Properly Owner: <br /> <br />Situs Address: <br /> <br /> ,~,~]~ /~-~/~ ~ga,/~C,~:~ .... Tax Account #: .,~O~%'~-C~© <br />~/F3.-~,, ,:Ya~c~/~,~ ~-'~ ~5'k~ Zone: Map: ~/3~-L/'~' <br />At.q,,~.~x/:..~ ,~/~-. ~73~5'~ Sec: /g T a,,~a~, Range: [ tv/. <br /> <br />Lot:_ Block: SubdivBion:. No. Acr~: <br /> <br /> ~ ~.,,......L. <br /> <br /> :.~J~.,,~,,,-...,i ................ ':,.,,-i-......i........~.......,i.,,,-i .i. .:. ,; .... <br /> <br />- I ~ : <br /> ~i""'~'"'""i'"'""~'"" "i" ""i" "'"?'"'""r"'"'"i ............... <br /> <br /> ,, -~-'-........L.....-i.,,, ,,,~ .................... <br /> <br /> I certify uhat the above information is aocumte to th,, best of my knowledge. <br /> Applicant (Plea~Pfint) ff¢,,~,~e'.~ /~ G'~~c'/ Phone: <br /> <br /> Applicant's $ignatltre: ~ ~ ~-~. Date: <br /> <br />MC: <br />Rev. 11/91 <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS*. <br />BUILDING INSPBCTION: <br /> <br />FOR OFFICE. USE ONLY <br /> <br />Dat~: <br /> <br />Date: <br /> <br />Dat~: <br /> <br /> <br />