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. . ,. . <br />F�LOT P LA�� ' <br />JOB tIDDRESS �' _ <br />LEGAL PESCRIPTION: LOT )� IILOCK�OF <br />l <br />Applicant shall complete this fo'rm showinq all dimensions of the property <br />structures, and.property lines ans distances between all existing aad pro- <br />posed structures. Also show locution and dimensions of all streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. ' • • <br />INDICA'PE NORTH IN CIRCLE AND SHOi•T ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRAWN AT AN �PPROPRIATE SCAi.F <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 />fi st obtaining.a�proval. <br />i � <br />r <br />_-._�nl ��r ,�� � _ -- <br />`� Applican�'s�signat re � Approval Date <br />� <br />� <br />