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. 6DTC IN G PE' IT NO.: 148.96' a '— ` ., _ ' y, t7 m a JV
53 • ' - 1 \ _ 6 '. a N: IR_ n 55-6 , Required Setbacks: p- Approved �❑ Not Approved • a I -
Side: S Street Side: /a i r�
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Front. 1 5 Garage: G Rear: /S f C 3 '
Visual Clearance: .0- Approved ❑ Not Approved I � 0 pa-re � s at
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N. = Maximum Buildin ► Height. f eet l a.
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n � CWS Service Provider Letter Required: ❑ Yes i t No ..�
m � ❑ Received
1./4 72 o o B: 6. Cea.. s Date: 6 - / 9- o s
°_ - ENGINEER G DEPARTMENT:
ea m _ o Actual Slope: % ❑ A roved ❑ Not Approved
�— - Site lay,. , D Approved ❑ Not Approved
By: Z Date: - >.)1 -43r-"