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�� <br /> J T A N <br /> OIANER � <br /> JOB ADDR�S <br /> LEGAL DESCRIPTION: L�� IILOCI��UF��ff <br /> ��I� ' :faj.Y y " � . <br /> �-' - Applicant shall complete this form showing all dimensions of thc property <br /> ,` �~"` '� , i structures, and property lines ans distances between all existing and pro- <br /> � . <br /> � `, � posed structures. P.lso show location and dimensions of all streets, <br /> �.'t�k <br /> � � t, `+ ' rights of ways, alleys, public facilities, easements and underground <br /> utilities. ' <br /> INDICA".'P NORTIi IN CIRCL� A?.QD SIi0i�7 ALL STP.EETS IaI�D ALLEYS. <br /> � I PLOT PLI�N TO IIE DR7��4N AT AN APPI20PRIATE SC71LE <br /> � � <br /> � .a�i <br /> � ~ �� <br /> ,� — ��� � . <br /> � i -- �.o� – - <br /> -� <br /> 1 <br /> i '� � <br /> � � � x �;E rJ'. ; � <br /> , �` ' � . ' �%a✓� tiaN� , r <br /> . '` <br /> }- o, _ `^( .�// �`fs� _ .— _ + _ _ � , � <br /> I; � � � - , � <br /> U � <br /> ��;, � � � <br />� � ,� <br /> � . <br /> Q . � • , � i <br /> � � � ., <br /> � � � <br /> � � � -. r.ta '--- <br /> � i <br /> � r <br /> I 'I I/we cer.tify tltat the proposed cons iiction wi11 conform to tlie above <br /> plot pl:. imensions and uses) and that no change will be made without <br /> � f' t . .ng • oval <br /> 6�� ` icants signature Approval Date <br />� <br /> � r <br />