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SITE PLAN FOR PROPOSED DEVELOPMJgNT IN MARION COUNTY <br /> <br />Situs Address: ~.s'.'g2 Ate~/m~V,,r .,~,. 5-~. Zone: Map: <br />/~r,/n~w[f~ .,~z ct~32~' Sec: ;~i T 9.5 Range: <br />Locot;~oi .Block:__ Subdivision: No. Acres: h~4- <br /> <br />Scale: ~"._- ~. ~ ~ <br />I cc~fy thai ~c above information is accurate to thc bcs~ of my knowledge. <br />Applicanr(PlcasePr~0 ~~'/-~.~'~ A, <br />MailingAddress: ~-8 ~- /+o/ ~r /4~. $,d. . /~ ~ ~,~1/~.,,~,< <br />Applicant's Signature: ~ <br /> <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECTION: <br /> <br />DrawnBy: /~"~' ~oa~'E/~ <br /> <br />Dam: <br /> <br />Date: <br /> <br />Dam: <br /> <br />Phone: <br /> <br />Date: 7-26-?6 <br /> <br />FOR OFFICE USE ONLY <br /> <br /> <br />