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Date _�-a -�7 <br />Plan CSeck No.: <br />Rf <br />SEPA No_• <br />Owner: �JG{ U g l� <br />Address (i£ knownl:_ <br />Zoning: �� � _�__ <br />Lot Area:_._ <br />Height Li*utation:_ <br />Use of bu`_lding� <br />Special .^.cnsiderations <br />COM-"iEi'TS : <br />APPROVED: <br />( <br />� <br />PLANNItJG DEPAATMENT REVSEI4 ���'�� / -l'='�'!�J <br />3 <br />f'.V1RMf �cN��cv-�-/f�� • ) <br />� � , � � � — l�� zzG I-In uPn ��Na� /aql <br />Dute of comment <br />� J�(i1��,'�3'r.G:/h';�C _ /7/"1�,�. <br />Si.gnature �l Date <br />