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,: <br />r. <br />s' <br />Oi•7idER � ���% L-�7"✓'`'y� <br />JOB ADUR�SS � j% O <br />LEGAL DESCRIPTIC:1: LOT <br />./1 _ � i' � <br />P L O T P L A N <br />BLOCK OF <br />�' � �'� � <br />� -- <br />�/( o -- / � n - o v' ;� S �= � �:' � -- — - - <br />App.licant shall complete this form showin9 all dimensions of the property <br />structures, and property lines ans distances hetween all e:tisting and pro- <br />posed structures. lllso show location and dimensions of all streets, ' <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. " . . <br />�___'� INDICA':E NORTH IN CIRCLE AND SHOT'7 ALL STREBTS AI•�D ALLEYS. . <br />�% <br />PLQT PL11N TO IIE DRAC7N AT AN APPROPRIl�TE SCALE ��/J <br />� Z O ' . <br />I/ke certify that the propos�d constructi.on caill conform to the above <br />plot r,lan(dimensions and uses) and that no chango will be made without <br />ii +� ob�'/-�ining �provalo 9�6 <br />' �f-�iG�j � � � . / %� <br />Aoplicants signature Approval llate <br />c <br />0 <br />