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0 <br />P L O T P L� N <br />JCII ADDR�SS <br />LEGA:, DESCRIPiIOAT: LOT BLOCK OP <br />T,pplicant shall compleL-e this form sho�•�ing all dimen��ions oF thc oroperL-y <br />structures, and property 1in�s ans distances bei:ween all existing and pro• <br />posed sL-r.uc:tures. Also shoca location and dimer;sions of all streets, <br />rights of: t•�ays, alleys, public facilities, easerients and underground <br />utilities. <br />IIQ�ICATE NORTH IN CIRCLii AT9D SHO[•].ALL STRErTS 71IdD PI.LEYS. <br />PLGT PLAN TO IIE DRAS4N AT AN f�PPP.OPP.IAT� SCI�LE <br />Ijt9C C____..i ,.,,,, �..�:.i,y,,,t,v��ii cii��y�tuctiion 19111 COI710YIi1 ti0 thG,jYf-��VC <br />p1oL- plan(dimensions and uses) and tliai- no chanqe �vill Ue made F�ithout <br />first obL-aining approval, <br />1�;�plicant:s signature <br />c <br />An�roval Date <br />