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, ; <br /> � P L O T P L 1: N <br /> OF7NER <br /> JOB ADDRESS <br /> L�GAL DESCRIPTION: LOT IILUCK OI' <br /> Applicant shall complete this form showing all dimensions of the oroperty <br /> structures , and property lines ans distances between all existing and pro- <br /> ' posed structures. Also show location and dimensions of all streets, <br /> rights of ways, allr_y,;, public facilities, easements and underground <br /> utilities. <br /> INDICAm� NORTH IN. CIRCLE AND SfIOPT ALL STREETS AND ALLE15. <br /> PLOT PL11N TO B� DRAWN AT AN APPROPRZATE SCAi,E <br /> , I <br /> i— .�_ <br /> � <br /> I �� <br /> � . <br /> _ - -- i <br /> I/we certify that the proposed construrtion �•:ill conform to the abo•re <br /> plot plan (dimensions and uses) and that no change will be madc withoct_ <br /> first obtaining approval. <br /> Tpplicants signature Approval Bat-e <br />