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/_--~?/~/D~0 ?/~-a~ ~ g~-t~?/,e a~v ,~,~ / <br />SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />,Property; Owner: ..... Tax Account #: <br />Situs Address: Zone: Map: <br /> Sec: _ T <br /> <br />Range: <br /> <br />Lot:, Block: Subdivilion:. No. Acres:_ <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />Scale: ?~-~/' <br />I certify that the above information is accurate to the best of my knowledge, <br /> <br />Applicant (Ple. mo, e Print) <br /> <br />Mail;ng Address: <br /> <br />Applicant's Signature: <br /> <br /> FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Date: <br /> <br />Date: <br /> <br />Dat~: <br /> <br />Date: <br /> <br /> <br />