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SITE PLAN FOR PI~OPO~ED DEVELOPMENT IN' MARION COUNTY <br /> <br />Property Owncr:' <br />$it~ Address: <br /> <br />Tax Account #: ~.~.0__.~760 <br />Zone: ~ Map: I~___~C ICG E <br />Se, c: ~T IO..q: Range: o¢'E <br /> <br />-- Da ¢.,: =: <br /> Dalg: <br /> <br />Scale; [ ~c¢,v~ ~- [0/ ~DlrawnB¥: <br />I certify that the above information is ~ccurato to the best of my knowledge. <br /> <br />Applicm~t (Please Print) <br />Mailing Addr~s: <br />Applicant's $ignatuee: <br /> <br /> FOR OFFICE USE ONLY <br />?LANI~iNG: _., <br /> <br />PUBLIC WORKS: __ <br /> <br />Phone: <br /> <br /> <br />