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Ot�]NER <br />JOII 71DDR�SS <br />L�G�1L DGSCRIP'L'ION: LOT <br />P L O T P L A N <br />BI�OCK OP <br />Applicant shall complete this form showing all dimensions oP the nroperty <br />sL-ructures, 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, alleys, public facilities, easements and underground <br />utilities. <br />INDIC7ITE NOS2TH IN CIRCLE AND SIIOPI ALL STREETS AND ALLEYS. <br />PLOT PLI�:d TO BE DRAi+TN AT AN APPROPRIATE SC1�LE <br />� _ - _ _.. <br />f�--- - <br />-il ''---� -- _ <br />_ ^ / <br />.�,5 �.� % � � <br />I/we certify that the proposed construction will conform to the above <br />plot plan(dimensions and uses) and that no change wi11 be made orithout <br />f-irst obtaining approval. <br />Applicants signature npproval Date <br />