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� P L O T P L A N <br /> , . . � <br /> Oi+1NER <br /> JOD ADDRESS /, ' � ',- �t , � <br /> LEGAL DESCc2IPTI0td: LOT IILOCK .' " = OF ' � � <br /> � <br /> I <br /> Applicant shall complete this form showing all dimensions of tlic property <br /> structures, and pLoperty lines ans distances between all existing and p.ro- <br /> ' posed structure�. Also show location and dimensions of all streets, <br /> rights of ways, alleys, public facilities, easements and underground <br /> utilities. <br /> 1 INDICATE NORTI► IN CIRCLE AND SIIOP] ALL STREETS AND ALL�YS. <br /> PLOT PL71N TO BE DRAWN AT AN APPROPRIATE SCALE � <br /> ' <br /> 1,; <br /> �.. � i0-21-Y8—� ---- , <br /> . 1� , <br /> � 2127 13 <br /> - - — --_—— ;� <br /> � i+ ai e, <br /> 14 <br /> - � �,�,-- - -- --- <br /> I/we certify that tlie proposed construction will conform to the above <br /> plot pl,sn (dimensions and uses) and that no change will be made without <br /> first ol�taining approval. <br /> A�plicants eign�ture Approval Date <br />