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P L 0 T P L A N <br />OS4NER h�// ��� ��� Gr S p�j� <br />JOB ADDR�SS ,c��f lJ (I CC/�(���0 1�` <br />LEGAL DESCRIPTIOI�: LOT�_ BLOCK C OF L/�� Ci � G G�-�' %��� %� <br />npplicant shall complete this form showing all,dimensions of the property <br />structures, and property lines ans distances between all existing and pro- <br />posed structures. Also show location and dimensions of all streets, <br />rigY�ts of �aays, alleys, public facilities, easements and underground <br />utilities. •• <br />`�Y 7' <br />r"� <br />INDICA�E NORTH IN CIRCLE AD]D SHOT'1 ALI, STREETS AND AL:,EYSo <br />PLOT PI�AN TO BE DRAWN AT AN APPROPRIATE SCI,LE <br />I/we certify that the proposed construction will ronform to the a�ove <br />plot plan(dimensions �znd uses) and that no change will be made without <br />firrt btaining �pproval. , <br />., <br />,� �; C,r` � '` (� C c.,�% _ _ <br />A?�lica ts signature Approval Date <br />