Laserfiche WebLink
SITE PLAN FOR PROPOSED DEYELOPMENT IN MARION COUNTY <br /> PropertyOwncr; /- /~.'?,':'/ ...... '~-..////6'~ ~' .... '"~f~ Tax Account #: <br /> SitasAddress: 5/a_v'~-~2 /;.~/_CX /7kb,J~ ~'~-'. ........ Zone: Map: <br /> <br /> Lo,z Block:... Su~v~ion:... No. Acres: <br />...................................... :"'"". · · ...................... i'"""': ................ /'""':: ........ : i ~' '?" <br /> <br />I Cextify that thc above infom~ation is accuraJe to the best of my knowledge. S'x~g~_ff~ 7._~ <br />Applicant's Signature: Date: ~t_ j ~'~ }9 .... <br /> <br />MC: 15-60 <br />Rev. 11/9I <br /> <br />FOR OFFICE USE-ONlY <br /> <br />PLANNING: Date: /~ <br />PUBLIC WORKS: Date:.. <br />BUILDING INSPECTION: Date: /' <br /> <br /> <br />