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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Property Owner: ~..~/,7~'_ ~ ~;~'~1~' (~ ~ ~Tax Account ~:, <br />SitusAddress: I00~1 ~K~ 0~ ~ ~ Zone: ~ Map: <br /> Section: T: Range; Lot: <br /> Block: Subdivision: No. Acres <br /> <br />Scale: /' --~ ' Drawn By: ~"'~_,/V'/Y',..Y' ~-F ~/1%/'9'~ <br /> I certify that the above information is ac6urate to the best of my kno,~l(~dge. ' <br /> Applicant (Please Print). Phone: <br /> Mailing Address: <br /> <br />Applicant's Signature: <br /> <br />Date: <br /> <br /> For Office Use Only <br />Planning: Date: <br />Public Works: Date: <br />Building Inspection: Date: <br />! <br /> <br /> <br />