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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br />Tax Aecount #: ~t:~ c~:~I <br /> <br />Zone: ~F~ Map: <br />Sec: ~)'~1 T ~tc~' Range: <br /> <br />~Lot: /~oo Block: Subdivision:. No. Acres: <br />i_.~:_......;,..__..i._....,..SITI: PLAN MUST BI: DRAWN TO SCALF <br /> <br />I certify that the above iaformadon is accurate to the best of my knowledge. <br /> <br />Applicant (Please Print) ~'~. _ ~'- ~::::?~a~¢ '~:e_~_..~ Phone: <br />Mailing Adctre~s: .. /0 '~ t... <br />Applicant'sSignamre:.~ '~,~,~----n~/~. ~. ~- --'~,.4'~.e-~..~.~ Date: <br /> 9' ~o~ owtce use <br />PLANNING: Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSPECTION: Date: <br /> <br /> <br />