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Property Owner: <br />Situs Address: <br /> <br />SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Subctivision:. <br /> <br />No. ^cres: I '7,,3 q <br /> <br /> ~ .............. t'"'"";'"'"'"~ q , ~ <br /> <br />Scale: Drawn By: <br />I certify that the above informa,0~On is accm~,)e mt. he best of my kno~vlodge, <br /> <br />Mailing Address: <br /> <br />Applicant's Signature: <br /> <br />MC: 15-60 <br />~ev. 11/91 <br /> <br />Date: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PLANN'rNG: Date: <br />PUBLIC WORKS: Date: <br />BU1LDING INSPECTION: Date: <br /> <br /> <br />