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P L 0 T P L A N <br />OS4NER���>»S 1� lcc�c'� <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT o20 IILOCK OC rj OF_ <br />Applicant shall complete this form showing all dimensions o£ the property <br />structures, and property lines ans distances between all existing and pro- <br />nosed structures. Also show location and dimensi�ns of all streets, <br />rights of �vays, alleys, public f.acilities, easements and underground <br />utilities. <br />INDICA�E NORTH IN CIRCLE AT.D SHO[•7 ALL STRErmS AND ALLEYS. <br />PLOT PL11N TO BE DRANTN AT AN APPROPRIATE SCA;,E <br />I/we certify that the proposed construction coill con£orm to the above <br />plot plan(din�ensions and uses) and that no change wi].1 be made without <br />first obtaining approval. <br />����a.-�-�9�. � � <br />� A.pplicants signature Approval Date <br />