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ZONING AND BUILDING CHECKLIST <br />1. Date of receipt of application- <br />Application received by: 1? I a ?-c r <br />2. <br />3. Applicant- <br />a. Name A+ohzemwyvt <br />b. Address 11 $D S <br />41-1 y< -tw L b ko a <br />L <br />c. Telephone: <br /> <br />4. Nature of application (Include case No. if applicable): <br /> <br />t b u„Y? C <br />A <br />A a C, S 010- I , . Lt I, - v- y I <br />c?c h o a l <br />5. Plans - Number of copies received ( .5?) and distributed to: <br />Clerk ( ?) Planner ( ?) <br />Building Insp. ( ? ) Manager's Office ( ?) <br />Engineer. <br />6. Building Department <br />a. Building Inspection comments (attach additional sheets <br />if necessary): <br /> <br />?+? <br />Building Inspector <br />Date