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P L O T P L A N <br />JOS ADDRESS' <br />LEGnL llESCRIPTIO�: LOT IILOCK OF <br />Applicant shall conplete this form shuwi-ng all dimensions of the property <br />structures, and property lines ans diste�nces between all existing and pro- <br />posed structures. Also show location and dimensions of all streets, <br />righte of ways, alleys, public faciliti�.s, casemr_nts and underground <br />utilities. <br />INDICATL NORTH IN CIRCLE AND SIIOi'7 ALL STREETS 1.ND ALLEYS. <br />PLOT PL11N TO B� DRAWN AT AN APPROPRIl1TE SC11LE <br />I/we certify that ihe proposed construction will conform to the above <br />plot plan(dimensions and uses) and that no change will be made withot.t <br />first obtaining approval. <br />A�plicants signature Approval Date <br />r <br />