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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br />Property Owner: CP/'g~t4tT~7~ t/.J4~./¢7~-~/~ Tax Aceount #: <br /> <br />Lov <br /> <br /> Block:__ Subdivision:. <br />"i'V~"T'¥:'V}" T'Tii"'UT'i'"f'l'i}""i"¥'"'""i['T T"¥'t'"i- <br />........ i.-.--.-..~..-.-..-.~ ........................ ~ ................. ~ ' <br /> · ~.-~.-.-..---! ............... !-..-.-..~ ........... I....-.-.~ ........ <br /> <br />Zone: ~ ~.C) <br />Sec: (0 T <br />No. Acres: r~5~q <br /> <br /> 15- <br />MC: 11/~1 <br />Rev, <br /> <br />I ~ r- 40/ <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />certify that the above information is accurate to the best of my knowledge. <br />Applicant (Please Print) ~t ~tS' ~, /9~.ce~ <br />Mailing Address: ~ D'~'.~--~k /'--(/tr~~O~'r¢ .'~ /~'~<rC~,~FJ,~¢ <br />Applicant's Signature: ~~"' ~ <br /> <br /> FOR OFFICE USE ONLY <br /> <br /> Date: <br /> <br />Date: <br /> <br />Da~e: <br /> <br />Phone: <br /> <br /> <br />