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SITE PLAN FORPROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Property Owner: . -~ II ~Oh<~ I~ TaxAexoum#:~ Q00'?- <br />~ 70o ~- <br /> <br />Situs Address: <br /> <br />Lot: Subdivision: <br /> <br />Block: <br /> <br />MC: 15-60 <br />Rev, 11/91 <br /> <br /> No. Acre.s: <br /> <br /> i :: i~uiLDiNG <br /> <br />"!'""'"!'"'"'"!""'"i'"'"'"!'"'""+'"'""i""""! .............. i:....,,,,, ,...,.,~ ............ ~ ........ b.... [ <br />............ <br /> <br />Scale: <br /> <br />I certify that the above information xs accurate to the best of my knowledge. <br />Applicant(PleasePrint)'~i[~ ~ hO.l~d'3 ,ff /~r),O~e~ '~3~, L'oJ'IoA{~') Phone: <br />MailingAddre~s: ]~ 05CxoCqO ~'~btrr~m;~- ,~ke Oso,ye. c4o, o~-~. <br />Applicant s Signature:" (J~t'LA~')T)r2~-~_LO))~J-~' ~tff',~f'~'~gf_~ Date: ,"-~...-t O"~'-~ <br /> FOR OFFICE USE'ONLY <br />PLANNqNG: Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Date: <br /> <br /> <br />