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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Propexty 0wner: .t-cd ........... Tax Account #: <br /> <br /> f ,(. ?,* ?~-.Zone: f~;cc4 Map: <br /> ,~.r.v'~'.r-~g")rt°. 9~g_ Sec: ~-'~ T ~,~3 Range: <br /> <br /> Lot: Block: Subdivisfon;. <br /> <br /> ............................... I.~..~.~?~...~.~.~~.~~~~?.~~..!~.~..~~i...~~.i...~..~~i.~..~.~~~~....~.i.~.~....!~~~~.!~..~~...~ ....... <br /> <br />":'"'""?'""i"'"'"i'"'""i""'"'i ........ <br />· ' .-..-..-f..-..-..-i.......-.?-......~ ............................ <br /> <br />No. Acres: <br /> <br />I certify that th~ above informationj~a, ccurate to the best of my knowledge. <br />Applicant (Please Pfim) ~//ff_z~,~ ,-.Y'"~ ,,, Phone: 7~2 ~/?..~ <br />Marling Address: wOT.~.57'-,+~7~wj d~f /~.~_.,¢~.., f'l~o <br /> <br />Applicant's Signature: ,(/I/x./, 3.~ c:<.:~¢~' (~/~ .~-..'~...-~-.. Date: ~--~+- IG ~_c~ 3> <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />PLANNING: Dam: <br />PUBLIC WORKS: Dam: <br />BUILDING INSPECTION: Dam: <br /> <br /> <br />