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P L O T P L A N <br />OWNER Q. SS\gTMp�sp^ Co�s'�c.�c�:u+ <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT BLOCK SS5 Or L,.Nk, <br />Applicant 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 />rights of ways, alleys, public facilities, easements and underground <br />utilities. <br />/1 INDICA'.iE NORTH IN CIRCLE AND SHOW.ALL STREETS AND ALLEYS. <br />L- <br />PLOT PLAN TO BE DRAWN AT AN APPROPRIATE SCALE <br />S <br />I/wc certify that the proposed construction will conform to the above <br />plot: plan(dimensions and uses) and that no change will be made without <br />first obtaining approval. <br />\Appli.cant:s signaL•ure Approval Date <br />j <br />