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Date �q— <br />Plain Check No.: _ <br />SEPA No.• <br />A 1 <br />Owner: <br />Address (if known) <br />zoning: i3I <br />Lot Area: <br />Height Limi <br />Use of Building <br />Special Considerations <br />COMMENTS = <br />APPROVED: <br />PLAN14INC DEPARTMENT REVIEW <br />/�2f <br />signature <br />Date <br />Date of comment <br />