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OWNER <br />JOB ACDRE:'S <br />. � <br />P L O 7 P L A N ' <br />r . n _ !- •-i <br />LEGP.L DES�RIPT:SON: LOT�_ BLOCK OF ��� �.� <br />� .; �, ��;_, �, � <br />� . <br />Applicant shall complete this form showing all dimensions of the nroperty <br />structures, and.property lines ans distances between all existing and pro- <br />posed structures. Also show location and dimensions of all streets, <br />ri.ghts of ways, alleys, public facilities, easements and underground, <br />utilities. ' <br />�� INDICA�E NORTH IN CIRCLE AND SHOi�1 AI,L STREETS ?.IdD ALLEYS. <br />` PLOT PLA?�7 TO BE DRAWN AT AN APPROPRIATE SCALE ' <br />I/we certify that the proposed construction caill conform to the above . <br />plot plan(dimensions and uses) and that no change will be made without <br />fi s obtaining apgro al. <br />� ' � <br />J_ _ _ - �;,�`',��' <br />� <br />�ApplscantL5`�ign8t re Approval Date � <br />�:�� . . <br />