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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Property Owner: '~/-q'/V/"),q~ ~ P P 2- E "7"0 ~ Tax Account #: <br /> <br />SitusAdd.ress: ~ ,q'-~ / P,~""r'~' /~ t~D ,~,E' Zone: -- <br />,'~., ,/~r~ ~/// 0 ~ ?'5~3;:z'~ Sec: T <br /> <br />LoC ff Block: Subd~vision:~ No. Acres: /. ~ <br /> <br />Range: <br /> <br /> COUNTY <br />~ i ~ ~ i BUILDING <br /> <br />Sc~de: <br /> <br /> Drawn By: <br />I certify that thc above information is accurate to the best of my knowledge. <br />Applicant (Please Print) 2h~/c ~' I~PP,I,£T"~ ,,~ Phone: <br />Ma//ingAd~ess: ~,.5'"~/ fi'~"7"~c't~ lTD ,5'~"' ,,lT~.~/u¢~qt./,,//~"o~c' <br />Applicant's Signature: ~ ~ <br /> /r../__ _ Date: <br /> <br />~v <br /> <br />PLANNING: ~-~ <br />PUBLIC WORKS: , <br /> <br />BUII.DING INSPECTION: <br /> <br />FOR OFFICE -USE ONLY- <br /> Date: <br /> <br /> Dam: <br /> <br />Date: <br /> <br /> <br />