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P L O T P L A N <br />014N E R <br />JOII AllDRESS � �> �j �����-q,�i /����_ <br />LEGAL D�SCRIPTION: LOT ;� IILOCK / OF_�,��,�,��.,,.�_,. �,�,��a��,,��` <br />1lpplicant shall complete this form showing all dimensions of the pzoperty <br />structures, and property lines ans distances bet�veen all existing ar.d 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 />INDICATE NORTH IN CIRCLE AND SEIOT•T ALL STREETS AND ALLEYS. <br />PLOT PI�AN TO IIE DRAFTN AT AN AP:PROPRIATE SCl,LE <br />V <br />I/we cerl-.ify that- the proposed construction tvill conform to the �bove <br />plot p]-an(dimensions and uses) and that no change will be made arithout <br />first obtaining approval. <br />A?plicants signal•ure Approval Date <br />