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AYPT,ICl:� <br />ADDRrSS <br />LEGAL C��CRIPiIO:J: L0: I3LOCL� 1\DDS.^•,:CO��. <br />U:1PLA�..?�: • ' <br />This fora shall be completed by 1;he applicanl- shotring all. dimen� ion� ot the pcc�pc•1-Ly. <br />Show all z_.*.:ensions ot thc clructure.^.(s) and di.mensions �o properly linos. Sho�o ill <br />nac!�c::rt- zr.J ot:hor. public fcicilit•iec loented on or. t:iLhin the eubjecC prope�rt}�. <br />- . � � .. nr mm �r a�i ' • . . . . <br />DLa� �L=: ^o <br />B� D2;;�. �O <br />A°: Itnn_ :�Z_T a,:'S <br />SCALE. <br />I1:DICATF. RORTII IH CIRCLE AIiA 51lOI•! STY.EHTS A�:D ALLF.YS <br />� <br />� <br />I/he certi:y th�l• the.propoced construcLion ��ill confor to the ::ub;nitted plol• plan <br />(dinensic:s and u::es) and Lhat no cl�ar.ge will be made withou� firct obtaining approval. . <br />. . • ' • // , � .. � .: <br />.� <br />NIUIB: ' � _. Gt. %i � (i` . / . 1�PP120VnL _ DnTE ,� " % l - %� <br />;� � ' � . • . � . <br />. �' • <br />.' • ' � � • � •. .. • <br />