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FROhl : ..TOHN ROEHr,1 COhlST. <br /> <br />:'HOHE NO. : .-:.u..:,,=,,~-.-~E,e.=-, No,.Y.,. 02 1995 £ .... 16Af',1 P01 <br /> <br />SITE PLAN FOR PROPOSED~I~.W~'EL~M]~J~'IN ~XRION COVEY <br /> <br /> · .. . .: ~; :~.._ <br /> <br />Scale: Drawn By: <br /> <br />I ~rtify that Ihe above information :s accurate to the best of my knowledge, <br />Applicant (Please :Print) <br />Mailing Address: <br /> <br />Applicant's Signature: <br /> <br />Phone: <br /> <br />Date: <br /> <br />1.60 <br /> <br />PLANNING: <br />PUBLIC WORK g: <br /> <br />BUILDING INSPECTION: <br /> <br />FOR OFFICE USE ONLY <br /> <br />Date: <br /> <br />Dale: <br /> <br />Date; <br /> <br /> <br />