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Zone: Map: <br />s=: __T ~" 5_P.~g~:../ <br /> <br />No. Acres: /. g~ (~ <br /> <br />PLANNING: . Date: <br />PUBLIC WORKS: Date: <br />BUILDING INSpEcTION: Date: <br /> <br />..... Alyp._licant's Signature: <br /> <br />MC: 15-60 <br />Rev. 11{91 <br /> <br />Scale: ["~ ~9 <br /> Draven By: L r~ c~ <5 <br />I certify that tlao above information is accurate to the best Of my lmowledg¢. <br />Applicant Oalease lhSnO .../% lC ~ /r/z /o ff, /, ~-7"~ O/ Phone' <br /> Date: . <br /> <br /> <br />