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MC: 15-60 <br />Rev. 11/91 <br /> <br />SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> /4AWoR~.: <br /> <br />q-} O02 s~: <br /> <br />T <br /> <br /> No. Acres: <br /> <br />........ i........~... ~ ....... ::........!........~.....,...~........:;........ ~ ...., ~. <br />.i.........i... i <br /> <br /> Drawn By: <br />I certify ~al ~e above informagon is accuram ~o the b~$1 of my knowleAge. <br />Applic~t (Please Print) ,~,'Wz ~'/g1~ ~'' ! ~tJ C_..ONSTRDcTIOki~hon¢: <br /> <br />Applicant's Signature: t~O~l.~ 1}O.~r~ "~2.t~ Date: <br /> FOR OFFICE USE ONLY <br />PLANNING: Date: <br />PUBLIC WORKS: Date: <br /> <br />BUILDING INSPECTION: Date: <br /> <br /> <br />