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Date <br />PLANNING DEPARTMENT REVIEW <br />Plan Check No.: _ <br />SEPA No.• <br />Owner: <br />Address (if known): <br />Zoning: <br />Lot Area• <br />Height Limitation:. <br />Use of Building <br />Special Considerations <br />COMMENTS: <br />APPROVED: <br />signature <br />Date of comment <br />