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P L 0 T P L A N <br />OiJNER <br />JOB ADDRSSS' <br />LEGAL DESCRIPTION: LOT IILOCK OF <br />Applicant shall complete this form shot•�ing all dimensions of the property <br />atructures, and property lines ans distances between a1i e};isting and pro- <br />posed structures. Also show location and dimensions of all streets, ' <br />rights of ways, a.11eys, public facilities, easements and underground <br />utilities. <br />INDICA'L'E NORTH IN CIRCLE AND SFIOT•T ALL STREETS AND ALLEYS. <br />PLOT PL11N TO B� DRAWN AT AN APPROPRIATE SCAI,E <br />I/we certify that the proposed construction eaill conform to the above <br />plot plan(dimensions and uses) and that no chang� wi11 be made without <br />first cbtaining approval. <br />f ' f. <br />; /< �� <br />��.. r.L : /r,�r1`-- <br />, Applicants signature Appr.oval llate <br />,' . <br />L <br />