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Property Owner:. <br />Situs Address: <br /> <br />SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Tax Account #: <br /> <br />Zone: Map: <br /> <br />Se~: T Range: _ <br /> <br />I Lot: . Block:__ Subdivision:. No. Acre&. <br />~:'" '": '"":'"'""i'"'i'"'"":'""i'¥"(~"~'"'"sif ii"e'~'~'"h'O'~:r"ii'i6 ii .............. :':'":'"'"'-""::'":'"'-::":""'-: .......... ~":'""~'"-" ~'"'" "~'"'"' '""' '''~ .................. <br /> <br /> ~: ~'""t"' ', ? ............... 't ........... ~' '~ ~--..-~ <br /> <br /> Drawn By: <br />I certifi] that ~he above information is accurate to the best of my knowledge. <br />Applicant (Please Prin0 <br />· Mailing Address: <br />Applicant's Signature: <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Date: <br /> <br />FOR OFFICE USE ONLY <br /> <br />Date: <br /> <br />Da~: <br /> <br />Date: <br /> <br /> <br />