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P L 0 T P L 7� N <br />OY7,dER <br />JOB ADDRBSS (�/ / �- <br />L�GI:L DESCP.IPTION: LOTS1z !� BLOCK /,�UP �,� r�� ��� �� � � � � � � � �-l�/� • . <br />-L a � d3Le%-(— <br />Applicant shall complete this form showing all dimensions o£ the propert; <br />structures, and pr.operty lines ans distances between all e•;isting and pro- <br />nos�d structures. Also show location and dimensions oi a11 streets� <br />rigtrts of caays, all�ys, public faci].ities, easements and unci�rground <br />utili�ies. <br />INDICA;T i��ORTII Ii�? CIP,C?,:',3 P_1dD SEIOT'7 ?.i�r. ST?LrTS T.^iD ALLP'_',S. <br />PLOT PLAA� 2'0 IIF DRAI•7N A7' AN Pi�PRO'_'RIATE SCPLE <br />I/ur�. cert�.ly that thc proposed construction will conform to the above <br />plot plan(dimensions and uses) and tha� no change e�ill be made without <br />iisst obtaining approval, <br />J� , _no�r i <br />`~��L��plicants signature � I!���,roeal Date ----- <br />/ <br />