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~,i ~' . ,3,~,X,q F 3 R 1-ROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> ~opetty Owner: .~4~17~ Tax Account ~ <br /> SitusAd~ess: ~'~(~<~ ~fl~>"f , Zone: Map: <br /> <br /> I ce~ ~at ~, above ~fo~afion i.. accm~e to ~e ~st of my knowledge. <br /> <br /> Applic~fs Signa~e: , ~ ~O~JV~ Da~: <br /> FOR OFFICE USE ONLY <br /> PLUG:. Da~: <br /> P~LIC WORKS: Da~: <br />MC: 15-~ g ~D~G ~SPEC~ON: Dam: <br /> <br /> <br />