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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Property Owner: Tax Account #: <br />Situs Address' Zone: Map: <br /> Sec: T <br /> <br />Range: <br /> <br />Lot: Block: Subdivision: No. Acres: <br /> <br />Scale: Drawn By: <br /> <br />I certify that the above information is accurate to the best of my knowledge. <br /> <br />Applicant (Please Print) <br /> <br />Mailing Address: <br /> <br />Applicant's Signature: <br /> <br />Phone: <br /> <br />Date; <br /> <br />MC: 15-60 <br />Rev, 11/91 <br /> <br />PLANNING: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Dam,' <br /> <br />Date: <br /> <br />Date: <br /> <br /> <br />