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THIS FORM IS TO BE FILLED OUT BY A MEMBER OF THE PLANNING DEPARTMENT STA?F <br />AND RETURNED TO THE BUILDING ~NSPECT~ON DEPARTMENT PRIOR TO PROCESSING <br />THE PERMIT APPLICATION. <br /> <br />Name of Applicant <br />Address ~r~ <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 "OF Initia]'~ Of Pi'Arming Staff <br /> <br /> <br />