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Date <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 />PLANNING DEPARTMENT REVIEW <br />8k/ X95"ic-1 <br />74-47 <br />i0/4j Plcol S <br />1/140-(-0 (CJS'!5`'CCIC LNA_ <br />/R1 z S 791-1 /,)e. sf: <br />Special Considerations: <br />LiA ,t 0 �fiQ <br />COMMENTS: Date of comment <br />Pc_rt7o,u/A)C S/56 <br />77o<Jft /n){=o 0/247 <br />L <br />APPROVED: <br />Signature Date <br />