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6 <br />P L 0 T P I. A N <br />� <br />JOII ADDR�SS ;>C•,.��j (�Jlt'?ri� �U�- <br />LEGAL DESCRIPTION: Lnm � �,- / <br />5 IILOCK / Or���-fI �<'t,��.r C ,.?�i>c!(,��� <br />nPPlicanL• shall completr i:his form showing all,di.mensions of the p_operty <br />structures, and property lines ans distances between a11 existinq and pro- <br />posed structures. Also show location and dimensions of a11 streets, <br />rights of �vays, alleys, public iacilities, easements and underground <br />utilities. •• ' � <br />INDICAT� 1vORTIi IN CIRCL� A?�D SIi0I�1 ALL STR�ETS AND 1�L:.EYS. <br />PLOT PPAN TO IIE DIU1�di�` AT AN APPRO°RTATE SCALL•' <br />�' <br />I/we cert•�_fy L-hat- L•he proposed con�t-ruction taill conio�:rt to the above <br />plot plan (dimensions and UJCJ) and th�it no changc toi1J. Ue made taithout <br />first- obtaining approval, . <br />, ^ <br />A?�,liccint:, ;zgnaLw:c <br />rova <br />Date � � <br />