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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Propexty Owner: Tax Account #: <br /> <br />Lot:. X[ Block:. Subdivision: $,~&h,~, g**4t ~t~'. NO Acres: :~,$ a,[:. <br /> <br />MC: 15-60 <br />Rev, 11/91 <br /> <br />Scale: ! ~' ; 10o' Drawn By: <br />I certify that the above information is accurate to the best of my knowlgdge. <br />Applicant (Please Print) ~, t~ Co~s~..,..¢~o~ ,. <br />Mailing Address: ?$~,~ ~,,.~h.~,.~w.. O~ ~ s,~ .o,-, <br /> <br />Applicant's Signature: <br /> <br />PLANNING-' Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Date: <br /> <br />Phone: '$'1 o ~ x.g $'0 , <br /> <br />Date: Io'- 197 ?~ <br /> <br /> <br />