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THIS FORM IS TO BE FILLED OUT BY A MEMBER OF THE PLANNING DEPARTMENT STAFF <br />AND RETURNED TO THE BUILDING INSPECTION DEPARTMENT PRIOR TO PROCESSING <br />THE PERMIT APPLICATION, <br /> <br />Name of Applican: ~ Case No. ~,- <br /> <br />The appeal period is over and.all conditions are met. A building <br />permit can be issued. <br /> <br />The appeal period is over and all applicable Planning and Public <br />Works conditions are met. The following items must be addressed <br />on the building permit: <br /> <br />N/A <br /> <br />Setbacks <br /> <br />Review approved site plan <br /> <br />Other <br /> <br />Name or Initials of Planning Staff <br /> <br /> <br />