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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />· l>ropertyOwncr: }...~-~- ~, \~q'~cV~ Tax Account #: <br /> ~J,~-~ ,,i/~ '~, s~: z~ <br /> Lot: ~-- Block: NO. Acres: <br /> <br />Sca~¢: 7,4 % l C~' <br /> Drawn]By: IqlC-~', l,~,~rV',,,~ <br />I certify that fl~e above in£onuatioo is accurate 1o the best of my knowledge. ' <br />Applicant (Please Pfint) ~-,~F::'r~ '<~' --'-~~ ..... Phone: <br />MailingAddzes$: I)Qbb D~f~ bt'~ ,~ k~qdV~c~\)~l~. ,(~ <br />Applicant% Signature: Date: <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />PLANNING: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Dale: <br /> <br />Date: <br /> <br />Date: <br /> <br /> <br />