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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br />PropentyOwner: [~ l~Ol4c~ Lc, J- ~0 el?lq ~tJ~hxAccount#: / <br />SitasAddress: ,~/gq go./~2, ~ L~ ~c~ g~: Zone: (-/"~/~- Map: <br /> <br />Lot: ~ O O Block:~ Su~ivision:_ No. Acres: <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br /> DrawnBy: ~_o ¢l?'r~ ,~ttgoo <br />I ce~ify ~at ~e above ~fomafion is accmte to ~e ~st of my ~owl~ge. <br />Applic~t ~l~se ~t) ~ O ~ ] ~ ~ ~S O P) Phone: <br /> <br />Apphc~tS Signature ~ ~/~ ~~ <br /> <br />PLUG: ................ Dam: <br />P~LIC WORKS: Da~: <br />B~D~G ~SPEC~ON: Da~: <br /> <br /> <br />