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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> Tax Account #: <br /> <br /> Sec: T Ranse: <br />............................. ._L?..t: Block:. Subdivision: No. Ac~s: <br />i i i '"'i .................. i"'"""; ............................................................ : ........................................................................................................... ,. <br />.i-.--...~ ................ ~._.....~........~.....,~_.~ ~ITE ~1_~ MUST BE D~WN TO SCalE ' ~ <br />: : : : ~ ~ ~ : ~ '"~ ................................ <br />..-.-..~ ................ ~ ........................ ~ ~ ~ ~ ~ ~ . ~ <br /> <br />q315 <br /> <br />s~: ~ lO~ )". <br />I certify ~at ~c above information is accura~ to the be~ of my knowledge. <br />Applicant (Please Print) Miat,~e. le. ~l,~,~i~~ Phone: <br />Applican~ s S~gnamre. ~ ~-A~ L <br /> - -- --. ......... ~ ~ _ _ Da~e: <br /> <br /> FOR OFFICE USE ON[,,~ ................. <br />PLANNING: Dale: <br />PUBLIC WORKS: , Date: <br />8UN. DING INSPECTION: _ Date: <br /> <br /> <br />