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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br />· <br />]h-operty Owner: ~/~d/ O/~/v"~ Tax Account #: <br />SitusAddrcss; ~'-')-~(r~O '-'~,~ ~. ~.~ Zone ~ Map: Og' <br /> <br />Lot: Block; <br /> <br />, Subdivision; <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />PLAN1WLNG: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Dal~: <br /> <br />Date: ....... · <br /> <br />Dale: <br /> <br />Sca/e: //? ~ /~O / Drawn By: £ o c~ <br />I certify that the above informatipn as accurate to the ~st of my knowledge. <br />Apphcant (Please Print)/ ., /Z~//O/ /o/~(v~,~j, Phone; <br />~a~iing A,,ddress: ~,<ff, ~_~_e~g f'?/O/ .~c~_ ~//~.~ ,,, (~¢"- <br /> pp 'Cant s Signature: · ~ ~/~Z/2~ Date: <br /> <br /> <br />