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Q <br />Date ��� '�ti�� <br />PLANNING DEf']1RTPiENT F2EVIElJ <br />y I / <br />Plan Chr_ck No.: `S '��L(�_ � `__ .... <br />SSPA No. <br />owner: ��� �,..�'n��_� 5,�1___ _...__...-- <br />nddress (if known) <br />Zoning: � `•� ----.--- <br />Lot Area:�_]� _______. <br />� <br />Height Limitation:�J --- <br />Use of Building:��L�—L�.---. ___...._---------.._ . _ <br />Special Considcrations;__ <br />COP1AlENTS : <br />� �,� �5 p�Y 7 7s�o 5�.. fr. <br />7� ,�.h � 5 ,���c �.� �Q ��� <br />��- �Ss�te� <br />� f32c,�Y-+2� Y ' � <br />,�,�,c�Mr� ( FILc�Fi� • <br />' � d S.ix`- S'.-T.�� � ;L��nG� i..�� � <br />o �n'�� ��J �..i:�0...� ' <br />�,,.� � I►� It� <br />n��PRovsu: �t� <br />Uate of comment <br />�ls � <br />czsx "a �s'� � <br />lJ��- urtc�� 5 ; ,�P,c,c-T <br />Srti Fcf�^� � �'" `�' . <br />,�v�rea�'f��� s�,��, . � ��� _is�/�S' <br />-��� ' �� <br />Siynature Dat <br />