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OWNER �'%; <br />JOII ADDRES <br />P L O T P L A N <br />LEGi:L DESCRIPTIOn: LOT /-�`�S IILOCK" L � UF � �� { �' f � :''�1'�'T �?v. - <br />7 <br />Applicant shall complete this form showing all dimensions oF tl:u proper�y <br />structures, and property lines a;is distar.ces bei:�•rcen all e};isting and p�o- <br />posed structures. Plso slia�•; location and dimensions of all str.eeL-s, <br />r.ights of ways, alleys, pu'.�lic facilities, casc;nents and under9rocnd <br />utilities. <br />I14DICa'"P i:0I2'.PIi IP' CI12Ci,� A?�D SIIOi•; P.LL STPEETS A1�D ALLEYS. <br />PLO^t PLI�N 'I'0 IiE DRAS•;P1 I�T AN APPRJ?'RI?:TF SCI�I�C <br />I/�ee certify that the proposed construction caill conform to the above <br />plot plan(di.mensions and uses) and that nc� chang�> will be ntade wiihout <br />first obtaining approval. <br />npplicant� �ignaturc npprova] Date <br />