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i <br />� <br /> 2, G /�� <br /> Date �L��-l�� (� <br /> PIwNNING DEPARTMENT REVZE[P �� ' <br /> Plan Ghecx No.: LS i�1� 1 -I :5 L� � 1�AC� 1�1� l . � �����-I�'I <br /> SEPA No.• <br /> Ocrner._ ` � <br /> Acdress (if known) : , <br /> Zoning: �`� <br /> Lot Area•_ �d �` /Z'/ �6 ` � <br /> � I <br />. Height Limitation: <br /> �� / � <br /> Use of Building• ��� <br /> SDecial Cunsiderations• <br /> CO�Sl�NTS: Date of comment <br /> 3�A ?r r+fls y����� ��� <br /> �x�,� S�-�.�. � �� <br /> oK �/ <br /> � � a��.� <br /> APPROVED: <br /> / <br /> � <br /> Signature ate <br />