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<br /> �. OWNER / � / / 0 l�I� I S D' �t. ' '. • .
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<br /> ;" JOB ADDRESSJ/ I l (J �� SGn d� �C/r Cu,ri� _
<br /> � _ LEGAL DESCRIPTION: ,LOT � DLOCK�_OF /`)�JtI ��NJ� c /�''c�s —
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<br /> �} Applicant shall complete this form showing all diwensions o£ the property
<br /> +{ structures, and property lines ans distances between all existinq and pro-
<br /> i posed structures. Also show location and dimensions of all streets, .
<br /> � righta of ways, al.leys, pnblic facilities, easements and underqraund �
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<br /> �' - utilities. - _-_-. _�_:. __;_._ .__ _. _. . __ . — : . •..:i'.
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<br /> �' _ _ INDICA:B NORTH IN CIRCLE AND S80N.ALL STREETS 1�TD ALLEYS.
<br /> �- PLOT PLAN TO SE DRAWN AT AN APPROPR�TE SCALE _ �
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<br /> } -I/ve-certify that the proposed construction will conform to tta above
<br /> ' plot plan (dimensions and uEes), and that +�o change will be. made.without_..
<br /> -�.--- -—first obtaininq approval. , � . __ ,
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<br /> ;i Appl�a its signature _Jlppruva_,__ _ Date -_ .
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