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none, Satellite antenna, Application
• • APPLICATION APPLYING FOR: (CIRCLE)(] .._SATELLITE AN ET NN /NONCOMMERCIAL RADIO ANTENNA PROJECT ADDRESS : 7I (111' ROCACI LEGAL DESCRIPTION: Loj 6G) N PROPERTY OWNER: I f) c. f �©Ylo / C�'1 C Jos . �+) ADDRESS: u'If( \-i,ll5, Cam, 001 TELEPHONE NUMBER: 3T - I� I AGENT/REPRESENTATIVE/CONTRACTOR: !l01 Ork, Axro 11 i Frx k ADDRESS : J 1 POL I i in S 11 rti Yr , 1 r,r TELEPHONE NUMBER: 5 J I" J I FOR STAFF USE APPLICATION RECEIVED: FIELD INSPECTIONS/CONDITIONS OF APPROVAL DATE CHECKED: 4////9 o /24 DATE CHECKED: SETBACKS VERIFIED DATE CHECKED: 4///i/5'O/ a 9/ / ° BY: /II"--_. SCREENING/LANDSCAPING INSTALLED/PROVIDED DATE CHECKED: q/j/,90 )C/$i/NG- J74'r(54;4-c7-0At I CITY ACTION APPROVED: DATE: //714 d BY: RETURN FOR CORRECTIONS: DATE: BY: RECHECK: DATE: BY: