none, Satellite Antenna, Application l •
APPLICATION i:tl.y°y
APPLYING FOR: (CIRCLE) SATELLITE ANTENN NONCONMEERCIAL RADIO ANTENNA
PROJECT ADDRESS: *3 AoAet U•
LEGAL DESCRIPTION: -432 -el
PROPERTY OWNER: GA6 ( ),,i,a-ogseet
ADDRESS: -- ACP A LA
TELEPHONE NUMBER: 3G.-5'D
AGENT/REPRESENTATIVE/CONTRACTOR: biA L- 00e. AI�T�f\1NAS b1 ,674\ k
ADDRESS: ZO 5 .� , V , de. HO{L-f—\
TELEPHONE NUMBER: 5c - eS 0 0 C 6A�
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FOR STAFF USE
APPLICATION RECEIVED: IS181Vi BY:J44
FIELD INSPECTIONS/CONDITIONS OF APPROVAL
DATE CHECKED: 1 2 f 11'$-°j "
DATE CHECKED:
SETBACKS VERIFIED
DATE CHECKED: Nuftrif -
SCREENING/LANDSCAPING INSTALLED/PROVIDED
DATE CHECKED: 1 7111 fr, *ff/%16--
CITY ACTION
APPROVED: DATE: I L l I f 3i BY: f1474-
RETURN FOR CORRECTIONS: DATE: BY:
RECHECK: DATE: BY: