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P L 0 T P L A N <br />OP:�IER <br />JOB ADDR�SS o�DI4 /�/ti��J0+1 r VP✓y � <br />I.EGI:L DESCRIPTIODI: LOT y-fT-�� BLOCI:_�Or__�, At �1�'/I� Di u,� i�'n � <br />�JY �„ tI <br />Appl.icant shall �omplete this form sho�•�ing a11 dimensions o£ the propetty <br />strur_tures, and property lines ans distances Uet�veen all existing ancl ��ro- <br />pose3 structures. Also shoo: location and di.mensions of a11 streets, <br />rights of ways, alleys, puUlic facilities, ease:nelrLs and underground <br />utilities. <br />IIQi)TC?�'^P: NORTH IN CIRCLL', AND S�I01V I�LL STRPETS 112dD FI�T�YS. <br />PLOT nL7��7 TO BE DTtli[•7N AT l,IQ APPRO?I2Irl�'E SCALE <br />? 'L <br />� <br />< <br />� <br />r <br />. <br />2 <br />i <br />/�?�.�;r� � J���, f <br />, �.� ,� r. <br />, <br />�' . ' , <br />� <br />_ �.�t d�...a.,..l <br />-.-- �',;. i�:. , , p.,, . <br />-- A���. l� !,� :�_��./ <br />I/�ae certify tl�at the proposed construction tail]. coniorm to the above <br />Pi�� Plan (dimensions and eses) and chat no ch.inye �aill be made withoiil. <br />first ai�ing ap ova1. <br />� <br />Appli ant� signature 71P1,r.nv.'�7. llati <br />� <br />