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I <br /> Date �� <br /> PLi.NNPiG DE?i�AT:'?'I7T PFVI=:4 <br /> Plan C:�eck No, : ��_f���] , <br /> SEPA No. • <br /> Owner: -'�(,� . <br /> Address (if known) : �f-� ( ���( ��� .��� n./J <br /> /�� <br /> Zoning: <br /> Lot Area- <br /> � , <br /> Height Limitation: <br /> Use of Building• ��2 / �'(� <br /> Special Considerations• <br /> COI�L�SENTS• <br /> Date of comment <br /> APPROVx'D: <br /> �1;,�0 �I����,, ��'7/�� <br /> Signature �� <br /> ��� Date <br />