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0 <br />P L O T P L AN <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT___!� BLOCK_j� _OF 2122-z t, 4, <br />Applicant shall complete this form showing all dimensions of the 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, puhlic facilities, easements and underground <br />utilities. <br />INDICATE NORTH IN CIRCLE AND SHOW ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRAWN AT AN APF.ROPRIATE SCALE <br />�.�": <br />I/we tify that the prop se constr tion will conform to the above <br />plo pl n(dimensions N uses) and that no change will be made without <br />first btaininq,App �. <br />Applicant's sign re Approval <br />Date <br />a <br />