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- PLOT PL.'1\ <br /> A?'PLIC7:'�3 � �t� '� � o r+� • <br /> � ' <br /> A`JDRPSS �� ncx "�7l <br /> � � <br /> LCGAL Ai..�.CP.IPiIO:d: LOT 'j /j PLOCI� _ 11DllI`.:'IOi� ��7'r �� .'./� <br /> •J;]PL;i:.�u: -- <br /> This fora sha11 be completed by Lhe applicant ,ho��:ing �11 dimenaion: of the properCy. <br /> Show al] cit::ensions of the ::Lructures (s) and di.mensions Lo property lir,es. Sh<��. ❑;.1. <br /> easerents and other. public facilities located on or within the subject propert�., <br /> ' I1:DICT.TF. l;ORiil- IC7 CIRCic 7:[7D SY.O�: ST::CE'PS h::D ALLF.1'S <br /> _y� -�D / � - --- <br /> I � <br /> . . � <br /> Dune i�L.-_. n� . . , `\ <br /> B3 DR.�:•�:i ^b . <br /> A'" APP:^-.��?IA1': • <br /> SChLE. <br /> . -3�� ---- � <br /> �vo <br /> �� ��/ � r <br /> 1�r;o�� �� <br /> ,�0� � <br /> . � � • <br /> � . S'T <br /> I/we ce=ti`.y that- the. proposed consL:neCion r�ill confor to the suMni.tted plot plan <br /> - (dimensiors and uses) and that no chan9c will Uc made without first obCaining apProval�. <br /> NN1E: � — I�PPROVnL DnTG �,_ <br /> / � � . <br /> — _ _ _ - <br />