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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br />Propeny Owner: ~f'x ~'~ ~-/'/d~f t~c'),~q,~ ' Tax Account #: <br /> <br />Lot Block: Subdivision:. NO, AcreS:. <br /> <br />I certify that ~he above informaaon i$ accurate to ~h¢ I~st of my knowlc~tge. <br />^pplicam (Plea~ Print) <br /> <br />Ma/ling ^ddress: <br /> <br />Applicant's Signature: <br /> <br />Date: <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />FOR OFFICE USE ONLY <br /> <br />Date: <br /> <br />MC: 15-60 <br /> <br /> <br />