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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Ptop~y Owner:. Tax Account #: <br />Situs Address: Zone: <br /> <br /> Map: <br /> <br />Sec: T Range: <br /> <br /> Lot:. Block: <br /> <br /> ~.._...., ................ ,.......~ ................ ~ ................ ~.......~ .. <br /> <br />: ..L......i........L.......~....._.i .i. i : : .~ ..i <br /> <br />Sca]e: <br /> <br />Subdivision: <br /> <br /> Drawn By: <br />I certify that the above information is accurate to the bes~ of my knowledge. <br />Applicant (Please Print) ..%~7t~' ~// <br /> <br />Mailing Address: <br /> <br />Applicant's Signature: <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />MC: 15-60 <br />Rev. 11/91 <br /> <br />BUILDING INSPECTION: <br /> <br />FOR OFFICE USE ONLY <br /> <br />Da~: <br /> <br />No. Acres: <br /> <br /> <br />