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<br /> JOB ADDRESS � Gas DF,��f_s � vr�'•-7i; "%.�5��' � ;, "
<br /> LEGAL DESCRIPTION: .LOT� IILOCK 3 3 7 pF �cqT ni"�i= 1- �":�'�= 7T ��V N
<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 streetsr
<br /> rights of ways, alleys, public facilities, easements and �inderground
<br /> utilities. '
<br /> ? �,q�-:css =✓ N II�DICATE NORTH IN CIRCLE AND SHOi�7 •ALL STREETS AND ALLEYS.
<br /> • PLOT PLI�N TO BE DRAWN AT AN APPROPRIATE SCALE
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<br /> I/�ae certify that the proposed construction �aill conform to the above
<br /> plot plan (dimensions and uses) and that no change will be made without
<br /> first obtaining approval. , .
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<br /> " A;�plicants signature Approval Date
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