SAV 80-11PROPEWT sa*mw smET
QTY OF FRIDLF.Y, HDRUMM
W<A,
ADDRESS AND LEGAL
OWNMVCDNTP.ALT PURCHASER.:
ODNSII2DCTION DATE: ADDITIONS:
CERTIFICATE OF OCCUPANCY ISSUED: YES ND BATE
A. ZONIM ACTION: ORDINANCE N0:
B. SPECIAL USE PERMIT(S):
C.
D.
E.
F.
G.
H.
IO'i' SPLIT(S): 1
VACATION (S) : # �4 '�/ G2 ,�' J ORD
VARIANCES
APPEALS OOMSSION: APPROVED DISAPPROVED • DME
CITY Com: APPROVED DISAPPROVID DATE
FASEMENTS: REQ'D DEPT
Bikeway/walkway
Street right-of-way
utility
Drainage
Alley
Other (Specify)
LICENSE S) (List): Date of Renewal
ND: %a"S�
ND.
NO.
RBC'D
STIPULATIONS (List) : DATE REQUIRED DA'Z'E a
mpLom
MISS: