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`i. <br />P L O T P L A N <br />OWNER <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT BLOCK Or <br />Applicant shall complete this form showing all dimensions of the <br />structures and property <br />property lines ans distances between all existing and pro- <br />pos_d structures. Also show location and dimensions of all streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. <br />INDICATE NORTH IN CIRCLE AND SHOW ALL STREETS AND AUEYS. <br />PLOT.PLAN!TO BE DRAWN AT AN APPROPRIATE SCALE <br />IZ, 7. <br />LpG <br />�qo <br />Z/J�6),f <br />2�C:50G <br />2 •Z <br />0• <br />t r <br />I/we certify that the proposed construction will conform to the above <br />Plot Plan(dimensions and uses) and that no change will be made without <br />first obtaining approval. <br />Appla.cants signature Approval Date <br />