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" . <br /> F L 0 T P L A r] <br /> ,� � <br /> OItTNER��� L � I\ � � �`�f?- — — <br /> JOF3 ADDRESS � <br /> LEGAL DT.SCRIPTION: I�OT BLOCK <br /> or <br /> Applicant �hall compl.ete this form showing all climensions o` thc- propercy <br /> structures, and i%: "-��`-t� lines ans distances bet�'een ail existing ar.d nr.o- <br /> ,�osed structures. �'11su show location and dimensions of all stieets , <br /> riylzts of �•�ays, alleys , nublic facilities , easements and encler.ground <br /> utilities. <br /> �� INDICA`:E NOI:TII IN CIP,CLL AN:� S'.IOPI .ALL STRET'TS 1'•-CD 1`-I�LI;YS• <br /> � PLO'." PLAN TO BE DRI1�Yh: AT I�N APPRO?'RIAT� SCALP <br /> I/cae certiSy that tlie proposed construction �aill confor.m to the abovc <br /> plot plan (dimensions and uses) and i:l�at nu change o�i.11 be made �vitlzouL- <br /> Lirst obtaining approval. <br /> 7� �roval Dat <br /> rpp].icanLs sign�iture P1. <br />