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APOLICATION CONTROL SHEET
<br /> TO b.compt.l.d by p.vtl.pmenl S—k nal _..
<br /> PleApp Only: ❑Y., ❑No F..: / Dw.ipl Flumb.,:
<br /> F it.Nmnb.l:/1�5—a i-3 F..: OS.� n.eeipl Number•. �09.5� 0.W/O'//-y/
<br /> FN.Number. F..: Racelpl Number: Dele:
<br /> File Idun,b.,: Fe.: n.c.lpl Numbel:
<br /> Descripllon of Projeel� � ,t"/-l/,��,is�tJ��(fO.�L/'�S�O�C�
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<br /> P'.jocl Lo..11.n: lzlzi
<br /> Add,e,,:
<br /> G.ncl el Pl.n CommlmNy' I Genanl Pl..Dolgnellon:
<br /> Zoning Map: F�6 Property Zoning: YTL—/o Ov.,ley onel,j:
<br /> Adj....I G.nerel Pl.n Zoning
<br /> S.ulh: •/ l/
<br /> E.,1: — 46— 6
<br /> W-1 —/0
<br /> 1my.v Hood ❑ Ye, N. WIM.m,on Ad ❑Ye. 0 No I Supervl,o,id Di.ukl: !{
<br /> Al,po,l Are.: Sp.cllic Pi.nl.l K Ye. R No:
<br /> nl,tay:/175-9/-/0.7— t UP 52F�, D06- 70-9J<
<br /> ;'CHECKLIST
<br /> All Appal—H.ne
<br /> Con.pleled AppGe.11on Foam, V. O..n,,,'Sign.l—
<br /> Copy of Deed of P,.liminery TNI.rl,,t• d Copie,.1 Pl.n.,Mnp
<br /> g'.'.1 I'R.due.d Plen or Map 0 ll.l.,dou,Alel.,(.I,Di,clo,me Survey p
<br /> Dov.lopm.,d Impact Millg.11on F.,Folm ❑ A-1—mad Ig,lo y P.g.,
<br /> Nemec LIM• 21' Sew.,AY.I.I Will S.—'L.11.,' ❑
<br /> Genolld Pie.Mep• ❑ 2oni„g M.p• ❑
<br /> S.R.Rcpoll' ❑ S.rls S.R.bilily Study ❑
<br /> Th.,.m.le,l.l,may nal be r.quh.d for—1.k,.pplk.lion Cl.k it,..ppg..li.n lyp.lo,
<br /> Tenl.11e.M.p.
<br /> Mnp Signal by 0— ❑ 7,ec1 Number and N.—IAl.jp Subs only) ❑ �-
<br /> Scpl. ❑ AN Lol,Ilumb.,.d ❑
<br /> Conlon,1-1— - ❑ Lo-lion of W.II.nd S.plk Sy,1.m ❑
<br /> Agd—tiu,el I lom.,ll.Foam ❑ Adjoinir,q Pl.p.,ey Gan.,,Nem.,on Map ❑
<br /> ESI -il.—
<br /> nocl.m.11.n PI..—d Sch.dul. ❑ Fin.—;.l Gun,.nle. ❑
<br /> lyplcel C......c llon. ❑ El.v.11on Cnkul.lbn Sch.dul. ❑
<br /> Engin—.Slemp ❑
<br /> Complolad By:
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