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j7ri1 s <br /> APPLICATION CONTROL SHEET <br /> ' To b.�ompl.l.d by U.velopmenl Smvlcs—if <br /> P,.App Only: O Y.. ❑Il. F..: n..apl Nomb.r: �y Del.: <br /> nfe N.lnb.r:/h5—a r 39 r•• //OS:aD n.aipl Numb.r: .-o9S X Do /o <br /> FII.Hu b.,: F..: n...1pl Number Dole: <br /> File 14u b— Foa; '11—lpl 14urnb..: Dnlo: <br /> 0....ipllon of PI.I.<I� �/ Ll L(V`LC.GL//��/J'�� ��•r� <br /> Addr...: <br /> G.na.l Non Commw,ily. I G.mm.l Plnn D-19 Mi..! <br /> Zoning M.P; ��6 Ropey Zoning: �.L—/p w.d•y onepp <br /> Adl.c.nl Gene,.f Plen Zon;nq <br /> Neater r�zi2�Cl<f�i..v- >�i-L—/D <br /> �46 40 <br /> W..1: <br /> IOD.Y..r Flood O Ye. 1f Mo WRIf.m.on Ad O Ye. No I SuDenl.oriel Di.bfel: !{ <br /> Al.p.a Aro•: Sp-M.Pl.nl.) PL Ye, R No: <br /> '�1Of1"/yJ5-9/-/O.Z , UP 5��f� l7oL 74-96 <br /> „ CHECKLIST <br /> All AppN<.N.n. <br /> Con.pleled App6e.11on F.— Own.ri Signelw. <br /> Copy of Decd or R.Ifmi..ry Till.n<po,l' Copf..of pl•n or Mnp <br /> OY.x 11'n.duced Plen o.Mep 11—dou.A/el..i•I.Di.cle.w.S—y ❑ <br /> D.velopmenl Imp.<I Millq.11on Fe.Form O A..e..er eM Ill.lery Peq.. p <br /> Names LI.I- & S.w.,AV.ler Will Sent'Len..' ❑ <br /> G.nor.l Pl.n Mep O 2o16nq M•p• ❑ <br /> Soil.ncpo.i• ❑ Sell.Sull.blNly Sludy. ❑ <br /> Th—m.l..l.l.—y nol be..q.k.d lo.<eil.ln•ppGeaYen.. Cl,.<A Nie•Pplii.•H..lyp.for del.ib. <br /> T.nl•Il-h1•p. <br /> Mnp Sign.d by Owns O T,.cl Number•.d N•m.IAlejor Sub.only) ❑ <br /> Sepi• O AN L.I. O <br /> C.nlou,Un- ❑ Lo<.N.n of W.n.r,d S,MlI Sy.l.m ❑ <br /> Agdcullwel I lome.h.Fmm ❑ Ariolnh,q P,op...y Own.0 N.m..en M.p O <br /> Eae..auon. <br /> n.<Ismedon rlen.rd Schad d. O Finn W G--I.. ❑ <br /> lyplc.l C,..r•.<llon. O El—.11on Cebulelbn Sch.d A. ❑ <br /> Engln.e..Stomp ❑ <br /> 1. <br />