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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br />1:~, ~ny'Own¢.r.~ Tax Accoun, #: ... .~ ~,~/ ~/~,~'~/ <br />Situs Addr~s: ~r~: - ~ __ Map: <br /> S~- <br /> <br /> ........... :, <br /> ~' ~ S)TE P~N MUST <br /> <br /> ~=~ i ~ ~ ~ ~ ~ ~ ...... ~ ........ ~ ........ i ........ ~ ......... ~' ........ ~ ........ ~ ........ ~; ........ ~ ....... i' ........ ~ ........ ~ ........ ~ ........ ~ ......... ~.. <br /> <br /> -_, .~ W~.. <br /> '~ ~ .... ' .... 'O'. <br /> <br />a~d o~ ~lan~s, a.~d i~s <br />O~lor lC) I~ <br /> <br />.......................... ~ : :. ........ ........ ........ ~ :. : :. ....... .... ........ .... .'.' ~ .> : .ii i ~..?.~-...?.~, :' i ~-.. .......... ............... ...... ! !. ; .............. ............. <br /> ~c,,,:~,~.~ ....... ~-~-~...-.~.-.-~-;-;:.-.-:- ........ : ........ :......-....~...:. ......... ~, ........ , ......... , ......... ~ ........ ~, ........ ~ ........... <br /> I c~rtify that thc above information is accurate to thc best of my imowledgc. <br /> Applicant (Plea,~ Print) _ <br /> Mailing Adrift,ss: Phone: <br /> Applicant's Signature: <br />........................... Dam: <br /> FOR OFFICE USE ONLY' <br /> PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />Dam: <br />Dat~: <br />Dat~:. <br /> <br /> <br />