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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />ProperlyOwn¢c: ~d,: /:: .~F-A/VC~?//~=A/?~ (-~ ~), TaxAccount#:_Cff_CO/7~--c?6/ <br /> <br />Sim.sAdclress: ,.~-~C~ ~T~7 $/78>~L~7~ Zone: ~ '~' <br /> ~ " Map: <br /> <br />Lot; / fl Block: C._~ Subdivision:. No. Acres: <br /> <br />¢OUN <br /> <br />I cemfy that the above in formation is accurate to the be:;t of my lmowlodge. <br />Applicant 0:'le-a~l>rlnt) N-~)('-?41; ~'~"',~u--~r'~ C~,~ . Phone: <br />Mailing Address: ~..,"k~ L~,,,.~ C_9~, PO~-, ~,.,~,"z.~.,.~_- C0~9~- <br />Applicant's Signature: "~Z:~X~L~ __ Date: <br /> <br />PLANN~qG: <br /> <br />FOR OFFICE USE ONLY <br /> <br />PUBLIC WORKS: -- <br />B UILDIiNG INSPECTION: <br /> <br />Da~: <br /> <br />Da~; <br /> <br /> <br />