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SITE PLAN FOR PROPOSED DEVELOPMENT IN MARION COUNTY <br /> <br /> Prop ~c~y Owner: /~,~,~,-,/e-/ ~t'~,~-/~ 'Pax Account #: ,7 7o <br /> <br /> ~ Situs Address: ~75-o .4to,.,~,l'//e. ]~t~%~ Zone: I ~ Map: <br /> <br />........ ~'"'""~ ................ ~"'"'"~'"'"'~'"'""~""'"f [ T T T I ~ ~ ~ ' : ' <br /> <br />Scale: /~ <br /> Drawn By: <br />I certify that the above information is accurate to the best of my knowledge. <br />Applicant (Plea~ Print)/'--- <br />Mailing ~ddre. ss: '~'~' <br /> <br /> FOR OFFICE, USE ONLY <br />PLANNING: <br /> <br />PUBLIC WORKS: <br /> <br />BUILDING INSPECiION: <br /> <br />Date: <br /> <br />Date: <br /> <br />Date: <br /> <br /> <br />