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SITE PLAN MUST SHOW ALL PROPERTY S _ ENSIONS (*15 <br /> ❑ Drawn to Scale: 1 square= Fe raw to Scale:Total c s a .\41 <br /> . , , , . . <br /> LI 5s JUL 18� 2023 <br /> N l•c\a`c J�� MARION COUNTY <br /> BUILDING INSPECTION <br /> tg,-71 . 02.A • gn <br /> `�U` �. <br /> . APPROVED BY . . ‘0' ;� <br /> r � <br /> • • .555 .r.03—uST . . . `• 30 . . , • . . j .-00,1(-•.elG • . . . . <br /> ZVS <br /> c, <br /> . . . . . . . . . FILE <br /> ,copy . <br /> . . <br /> . . . . . . • <br /> . . . . .mil Fir ieJ) 5 T <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE I ] Owner or( ] Authorized Agent <br /> NAME(please print): ;�\(Q� Telephone 1,15D33—5950^ 1 1.o <br /> Email Address: (➢ nk[g\ .€... J \ C-e3-7/u <br /> Applicant's Signatur . f Date: ij—) ' 43 <br /> Applicant's Mailing Addr ss: 1��k � .�1GC,LT4- 5 1' . 1Eity ip <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: Date: <br /> BUILDING INSPECTION (Acceptable for Planning requirements only) <br /> F:\FORMS\ADMIN\A-33D RES SITE PLAN.DOCX rev: 05/11, 9/12, 3/15, 3/18, 4/21 <br />