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ZONING AND BUILDING CHECKLIST <br />x <br />1. Date of receipt of applications ~ ~ " ~ ~'' 7 ~ <br />2, Application received by:: .` ~~ ~- (~ ~~y <br />:.._.rT <br />3, Applicant° <br />a o Name L -~ •.c +.~ Y <br />b. Address ~ b~ ~; ~ s ~ ~ 7. <br />c. Telephone° <br />4. Nature of application (Include case No. if applicable}a <br />I~ nt ~ 1 l~ -- ~~- o w~ ~ a y ~ ~a v~ ~; -.~ w - <br />5. Plans - Number of copies received ( ( } and distributed ~to~ <br />Clerk ( ) Planner I ( -~ 1 <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 />~W ~ <br />- ~' ~~ l0 -/ ~- 7,3' <br />.Building Inspector Date <br />