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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Tax Account #: l- ?7'9 7~ :.~. 9,~ <br /> <br />Sec: ~ O ~ T ~ ~ Range: ,....~3~ .... <br /> <br />Acres: ¥, 79 <br /> <br />~cale: .~f ~ 5-0 <br />I certify that the above/~formation is ~ccurate to thc best of my knowledge. <br />Applicant (Please Print) .~-,..~) '~ ~ ,?e r ~ <br />MailingAddre~s: .~ 7?'5'0 S"/~,.,j~, ,C.~i~) ~-/~ <br /> <br />...... Applicant's Signature: <br /> <br />MC: 15-60 <br />Rev. I1/9I <br /> <br />PLAN'N1NG: Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Da~e: <br /> <br />Phone: <br /> <br />Date: <br /> <br /> <br />