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� � • P L O T P L :� N ' <br /> OWNER �/ V_ ,i r :: �r r �c ; • <br /> JOII ADDR�SS %�;• `:ti-f'c'Y. <br /> iEGAL UGSGRIPTION: LOT IILOCK �9z_' UF crn 2���� e � . <br /> 7:pplicant shall complete this form sho�ving all dimensions of the property <br /> structures, and property lines ans distances betivicen all existing and pro- <br /> � posed structures. Also show location and dimensions of all streets, ' <br /> rights of ways, alleys, public facilities, easements and underground <br /> utilities. ' <br /> INDICA",'E NORTIi IN CIRCLE AND SIiO[9 ALL ST?2EETS ANU ALLEYS. <br /> PLOT PL71N TO BE DRA��TN AT AIJ APPROPRIATE SCAI,� � <br /> I/we certify that tl�e proposed construction �.�ill conform to the above <br /> plot plan (dimensions and uses) and that no change will be made without <br /> firsr� ob ain g a�proval. <br /> /• � ' ' - _ <br /> � � ��'��;� ,. C �, /; :� S � �C <br /> � <br /> f <br /> " Ap��i.canLs signature Approval Date <br /> ,, . . <br /> -�.._. <br />