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P L O T 1' L T1 N <br />OiJNER <br />JOB AllDRP•.SS � �I- C G �' - �rj (- �i�_ �.�,,,� , <br />• 7 <br />LEGAL DESCRIPTION: LOT II7,OCK OP <br />Applic�nt shall complete this form showing all,dimensions o` the �roperty <br />structur.es, and property lines ans distances bcl�veen all exisLinc and �ro- <br />posed �tructures. Also sl101J locati.on and dimensions of all streets, <br />ri9hts of. ways, alleys, public facil.i�ies, easements and under9round <br />utilities. . <br />INDTCATE NORTII IN CIRCI,E' AND SIIOi9 ALL STRPI,TS AND ALLEYS. <br />PLOT PL71N TO DG DI27�i�N I�T ArI .1PPROPRII�'P� SCt1LP•, <br />I/�v� cer.ti.fy thaC Che nro�>oscct consi:rncL-io�t will. conf`.orm Lo tlte aFove <br />nlot pl�ui(di.mensi.ons and u,es) and that no change will be m�ide �:rithottL <br />first o1�Laini_ng �pprova].. <br />/ ,� <br />�.l„-_- / --� r�` s � - � 7 <br />� A?�,l.i.<,,:i�� �=.i.qii-iCure — --- �lpprovaL D_il.e <br />