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Date <br />PLANNING DEPARTMENT REVIEW <br />Plan Check No.: <br />SEPA No. - AM <br />Owner: <br />Address (if known): <br />Zoning: _[1=/ <br />Lot Area:. 9: 776 <br />v <br />Height Limitation:_ ✓35 <br />Use of Building S .[ f) <br />Special Considerations <br />COMMENTS: <br />APPROVED: <br />t' <br />i <br />s:vgnature Date <br />Date of comment <br />