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� <br />nF�rr.ic�:�r <br />nD»izrss <br />LI;GAL D;:�CRIP?IO:d: L0: l3r.00I: 11DD.L.^i:[O�1 <br />U;I1�LA:.ED: • ' <br />Thi:: fo.r- snall bc complMed by Chc applicant :.hnwinq all c7imen.^,ionc oE tl�c ��rc>��ct�y. <br />Show a17 c'.ir.�ensions of thc nlructures(sI and di.mensi.ons to pr.operty linas. Sho�.� oll <br />cacc�nents ead other. public Lacilitics locatecl on or taflhin thc �ubject prope�:ty. <br />II2DICnTii ItOR311 1PI CIRCLE A1:D SIfO'rl STRCP.T$ 7+i:D nLLF.YS <br />pu�%i i�]�=i i0 <br />II� D!L;:'; :0 <br />T.\' 7�p�,:��ZT_:i��'.r. <br />SCnL�. <br />I/�,•e certi`.y that tlie.proposed c.onctruclion will confor 1:o Che submitted plot plan , <br />(dimensic..:s and uces) anQ that no chan9e will Uc made withouL firct obl•aining approval:� •, <br />Nnrir•.: •� �E� ��y a-lctil�vkJ, nrr�aovnr. ' nnTe . <br />. 7 v a�u �E �G• ,pu.,ya.r�. ✓, � . ' : <br />��" <br />• . . . ', ' � • ' <br />