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P L O T P L A N <br />/ 5'e--J� <br />n^ <br />UW NliA `e -& _ — <br />VQ. <br />JOTS ADDRESS <br />LEGAL DESCRIPTION: LOT BLOCK % OP <br />Applicant shall complete this form showing all dimensions of thn 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 />INDICATE NORTH IN CIRCLE AND SHOTS ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRAWN AT AN APPROPRIATE SCALE <br />I/wo certify that the proposed constructiork will conform to the above <br />plot plan(di.mensions and uses) and that no change will be made without <br />firs obtaining approval. <br />a' �"t Date <br />pplicaits signature Appro�,al <br />