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SITE PLAN FOR PROPOSED DEVELOPMENT iN MARION COUNTY <br /> <br />Prpperty Owner: <br /> <br />Situ~ Address: <br /> <br />Block: ~H,~$E ~ Sub4ivision: <br /> <br /> Tax Account #: <br /> <br /> Zone: ~ Map: ~'HW/'~C~ <br /> Sec: ~ T ~ ~ Range: ..I,,WW/v~ <br />K~.$C~:/. ~T No. Acx~s: <br /> <br />Drawn By: <br /> <br />I ee~fy that the a~ove informa6on is accurate to the best of my knowledge. <br />Applicant (Please Print) ~)~ff~'/~ ff/J~D)/~glr~,~ ~, <br /> <br />Phone: ~o ~t '-~-O~'~' .... <br /> <br />.......... ~ ' ~2~_..~ ' ~ ~. ,,~__ ~_ <br /> vsz <br /> ~G: ~ , Da~: .......... <br /> P~LIC WORKS: , Da~: .... <br /> <br /> <br />