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i):i . <br /> �ate r-�-=;�J � ; <br /> r;� :i; �r•.t:t�.ct:. ;:.ezr����•� <br /> ' , �c <br /> Plan ChecY. No. : __,-' . , ' . --_-- - —_ __ .. <br /> SEPA No. • -- . ----------- <br /> Owner: �JC.vI/ l�'_� I Y�l�// `� -- <br /> Address (if Y.nownl : o��� +� �i J/ ����n��_ <br /> Zoning: ���'--------- -_ . . . <br /> Lot Area: <br /> Height Limitation: — <br /> Use of Building:_�*�e---'------------- --- _ .. . _. —. . .—.' -- — <br /> Special Considerations•� -- -----�-�---' <br /> COM.MENTS: Dat? of comment <br /> APPROVED: <br /> � � Z �� <br /> � <br /> SignaL-ure Date <br />