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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Properly Owner: /v~C-K q~ S,'~t_¥ . AD&n4 £ Tax Account #: ~..~_~ <br />Situs Address: ~8© '~k"'t~ ~- ~c~/%-13 Zone: -' / F Map: <br /> ~r:~-, ~F-~T ... ~7B~ SeC: ~ ~ T ~ ~3 Range: <br /> <br />LOt. Block: Subdivision:. No, Acres: <br /> <br />..... i.......~.........i ................. i ~ ~a~ ~:bi <br /> <br /> I ce~fy ~at ~e a~ve info~afion is a~te to ~e ~st of my ~owledge. <br /> Applic~t ~1~ ~t) ~, A~ ~ Phone: <br /> <br /> Applicant's Signa~e: ~ff~ ...... Oa~: <br /> <br />MC: <br />Rev. I1)~1 <br /> <br />FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Date; <br /> <br />Date: <br /> <br />Date: <br /> <br /> <br />