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P L O T P L A N <br /> Oi•7NER <br /> JOB I�DDRESS <br /> LEGAL D�SCRIPTION: LOT BLOCK UF <br /> Applicant shall complete this form showing all dimensions of the property <br /> structures, and property lines ans distances between all e};isti.ng and pro- <br /> ' posed structures. Also show location and dimensions of all streets, <br /> rights of �vays, alleys, public facilities, easements and widerground <br /> utilities. <br /> INDICATE ATORTH IN CIRCLE AND SI30T9 ALL STREETS AP]D ALLBYS. <br /> P_TAT YLAN TO II� DRA[�'N AT AN APPROPRIATE SCALE <br /> ��� �RGE L ,%�tG n <br /> . � <br /> 6' <br /> ., .� <br /> . � <br /> �/�� . <br /> -0 � �` � <br /> .�-- -- <br /> I/we certify that the proposed construction �•:il'_ conform t�o the aUove <br /> plot plan ;dimensions and uses) and that no chanc7e wi11 be made without <br /> first oL�taining approval. <br /> AppLicants signatuTe Approval Date � <br />