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SrlE PLAN FOIl PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />i'~i~cr~y Owner: Tax Account #: <br />Situs Address: ~ ~ne: Map: <br /> S~: T Range: <br /> <br />L )tz ........ Block: SuM/vision: No. Acres: <br /> <br />NSP <br /> <br />Scale: Drawn By: <br /> <br />1 certify that die alive information is accurate to th~ best ot my knowledge. <br /> <br />Applicant (Plc~qse Prh~t) , Phone: <br />M~filing Address: <br />Applicant's $ign;atxlr¢; Date: <br /> <br />PLANNING: <br /> <br />FOR OFFICE USE ONLY <br /> <br />BUILDINO INSI'ECTION: <br /> <br />Dam: <br /> <br /> <br />