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Date ���� <br /> PL:.N:7Z:lG DEPART_:ar:]T ?�VI=W <br /> s <br /> Plan Gheck No. : _�g_ /Z_O�/`2.� <br /> SEPA No. � <br /> , • Owner: ���rA �6N'1 /// �.�j(},�if��' <br /> ' J7� `t�rS /-�n o.<cs � <br /> ad�=ss (i: known) : oZ a a �Cd�.O 7 �0'�`� 2•�z� c,Jcr.-� <br /> --� <br /> Zoning: _ - �- <br /> � Lot Area• ��sX I Z o , <br /> � � <br /> Height Limi.tation: � <br /> Use of Buildiaq_ S � '� �'�ii�y� (���Ic � �n^ <br /> Special Considerations• <br /> CODL'"E24T5: Date of co�ent <br /> �� �NA M�►�� <br /> a <br /> �� Z <br /> � v� �� � �� <br /> APPROVED: <br /> �C� <br /> Sicnature Date � <br />