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'SITE PLAN FOR PROPOSED DEVELOPMENT 1~ MARION COUNTY <br />Propett¥Owner:. ~'~¥A/ ~l~:~u~ef~ Tax Accotml; #: ~O~OI--OOo <br /> <br />Lot' Block.' Subdivision: No. Acxe~:. t~l l, c~ ~ <br /> :: SITI: PLAN MUST BI: DRAWN TO SCALIi <br /> <br />! '? ~ ~ ........ ?--.----?.-..-f-...-.--~.--.-.-.f.-......~..--.--.f-.V../~-~.,,-.~.c/....,-.. ........ <br />i ' ~ ~ i ~ '-' ' ' <br /> <br />I certify ~ the above information is accurateJp the best of my knowledge. <br />Applicant (Please Print) xTt~ t~ ,,~/ ~.a / ,q ~ bea~K~ Phone' <br /> <br /> ? <br />Applicant'sSignatm-e: ~7"~ /~~ <br /> <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Dam: <br /> <br /> <br />