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P L O T P L A N <br />OWNER <br />JOB ADDR�SS <br />IEGAL DESCRIPTION: LOT IILOCK OI' <br />Applicant shall complete this form showing all dimensions of the property <br />structures, and property lines ans distances between all existing and pro- <br />nosed structures. Also sliow location and dimensions of a11 streets, <br />rights of ways, al7.eys, public facilities, easements and unfierground <br />utilities. <br />I�IDICAmE NORTH IN. CIRCL� A�TD SHOf7 "t1LL STF.E�'TS AND ALLEYS. <br />PLOT PLI�N TO B� DRAWN AT AN APPROPRIATE SCAT,E <br />I/�•:e certify that the proposed constructien c•ril.l conform to the above <br />plot plan(dimensions and uses) and that no change wi11 be made �oithouf <br />fzrst obtaininy apprc�val. . <br />Applicants signature Approval Date <br />;' . <br />