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8 <br />JOB ADDRESS <br />L�GAL DESCRIPTION: LOT <br />P L O T P L A N <br />c- IILOCK �u I OF 3 f? i c i l' �� �c �'r S' <br />_ -�- <br />Applicant shall complete this form showing all dimensions of the property <br />stractures, and.property lines ans distances between all existing and pro- <br />nosed structures. Also show location ancl dimensions of all streets, <br />rights of ways, alleys, public facil�,ties, easements and underground <br />utilities. <br />� <br />� <br />INDICATE NORTH IN CIRCLE AND SH01`I ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRr1S+TN AT AN APPROPRIATE SCALE <br />I/we certi.fy that the proposed construction will conform to the above <br />nlot plan(dimensions and uses) and,that no change will be made without <br />�i�t obtai-r��ng�approval. 1g' � <br />� ��'1. �,, . , i✓ `l� 'L� '� �o <br />�' '11 `Y���1�\ � i� l 'Y'Yl(''.!.'Y\ � <br />Applicants signature ]lpproval a e <br />.�;, ��.. <br />4 <br />