SAV 80-09'04 10 4'As; a 4,q 11 n YII,,r: �1V:
ADDRESS AMID LEGAL
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A. ZONING ACTION: ORDINANCE NO:
B. SPECIAL USE M MIT (S) :
C. IDT SPLIT(S): #
D. VACATION (S) : #d -4 f ® 'D If ORDINANCE NO: "
E.
APPEALS OOMISSION: APPROVED DISAPPROVED • DATE NO.
CITY OOUNCIL: APPROVED DISAPPROVED DATE NO.
F. EASEMMUS: REQ'D DEPT RECD
Bikeway/walkway
Street right-of-way
utility
Drainage
Alley
Other (Specify)
G. LICENSE S) (List): Date of Renewal:
H. STIPULATIONS (List): DATE REQUIRED DATE OOMPI TED
I. MISCELLANEOUS: