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i'LOrT PLAN <br />r � �I. _ � <br />JOB ADDRESS '��°i,,�w L�v '�" � � <br />Li;.^,AL Dl'��:RIPTION: I�OT � BLOCK�OF <br />N • � � I (�➢✓VrYf1 _— <br />Applicant shall complete this form showing all dimensions of the property <br />structures, -snd property lines ans distances between all existing and pro- <br />posed structures. Also show location and dimensions of all streets, <br />ri�hts of ways, alleys, public facilities, easements and under.ground <br />utilitieso _ <br />NINDICA�E NORTH IN CIRCLE AND SHO[?.ALL STP.EETS 11T7D ALLEYS. � <br />I <br />� PLOT PLAN TO BE DRAWN AT AN APPROPRIATE SCALE <br />�'j,$�'a � � <br />� 1�� � �----�- <br />.' � <br />23' <br />co' <br />. <br />� <br />cr� �r <br />i/we certify that the proposed cons ruction eaill conform to the above <br />plot plan(dimensions and uses) and that no chanqe will be made wi*hout <br />�f' t t�' i g approval. , <br />A7plicants s'gnature Approval Date <br />. � <br />` — C" a . . . �_ .. _ . ' <br />� <br />