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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> Property Owner: ~][~ frS" ~/--L'F~ Tax Account #: <br /> <br />........ ~ ........................ ~ ................ * '.,"'-'-":'"'""~'"'""i ........................ 4-.---.-~-----,--i--.--,4 ................ /-..--.--~-,-,-.,':,.......{ ................................ , .......................... <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />Scale: Drawn By: <br />I certify that the above/n£ormat/oo is accurate to the best of my knowledge. <br />Applicant (Please Print) ,~.']~-K/~/( ~ ~,-~ ][1~. <br />Mailing Address: ~td ~ ~ '~ £ ? 7& ~ig,.~ ~ ~) ~ <br />Applicant's Signature: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PLANNING: <br /> <br />Date: <br />Date: <br />Date: ' <br /> <br />PUBLIC WORKS: <br />BUILDING INSPECTION: <br /> <br />J~hoae: <br /> <br />Date: <br /> <br /> <br />