SAV 80-09M t,` Il ;n• 11'I I:r: • V�
11•x.ilkli/ 5 1 MW j✓ /
OWNWCONTRACT PURCHASER:
CONSTRUCT DATE: ADDITIOM:
CERTIFICATE OF OCCUPANCr ISSUED: YES NO DATE
A. ZCNIM ACTION: ORDINA14M NO:
B. SPECIAL USE PERMIT(S): #
C. IM SPLIT (S): #
D. VACATION (S) ORDINANCE ND: % y.3
E. VARIANCES
APPEALS COMMISSION: APPROVED DISAPPROM DATE NO.
CITY COUNCIL: APPROVED DISAPPROVED DA'Z'E NO.
F. EASEMENTS: REQ' D DEPT REC D
Bikeway/walkway
Street right-of-way
Utility
Drainage
Alley
Other (Specify)
G. LICENSE(S) (List): Date of Renewal:
B. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED
I. MISCELT ANEOUS: