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i� <br />� <br />Q L O T P L A N <br />OT .iR <br />n <br />J013 ADDRIiSS <br />�{ OP �►to�, . / 1o/ o <br />LL•'GhL DLSCRIP'PION: LO`P �$ IILOCIC t QC,�e.S 4dtf�'1`10h <br />ApplicanL- shall comp'.ete this ic�rm showing all dimensions of ihc prop�rl•v <br />strucL-ures, and property lines ans distances br-_t�veen all existing an�l pr.o- <br />pos_d �truci:ures. Also slioe� location and dime: sions of- all streeL-s, ' <br />•;riqhts of ways, alleys, puhl.ic L-acilities, easements and undergrour.d <br />utilities. ' � • <br />TN!�ICATE NORTIi IN CIRCLE A�D SIlOP7. IU.L STRE?'sTS I�ND ?�I,I,EYS. <br />PLOT PLAN TO B� DR1��� AT AN APP220PRIAT� SCALL � <br />I/ue ceri_ify t:�at the pr.oposed constr.ucti.on �.�i.11 conform to the above <br />plot p].an(ciimen�i.ons and uses) and that no chango taill be made without <br />iirst obtaining appr.oval. , ' <br />�dMOJOC`..� ,_�n�Acr.v <br />Applacant.s signat•ure npproval Uate <br />0 <br />� <br />