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� <br />P L 0 T P L A N <br />OI4NER 1� .- �- .. ��� G � v o �' ,s <- _ <br />JOII ADDRESS „� G; � I�oc �c �::; '-� � i� �.'t r,c ��, '. ,; <br />�jIN� ,� � <br />L�GAL DESCRIPTION: LOT �� '�'� IILOCK �;�,� OF ��: v`c.-<it ('I.:�t <br />�_o� <br />npplicant shal.l complete this form showiiiy all dimensions ofi the property <br />structures, and property lines ans distancer; between �1' existing and pro- <br />posed structures. Also show location and di.mensions of all streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilitiee. •• <br />INDICA':E NORTH ICI CIRCLE AND SHOf•i ALL STREETS AND ALLEXS, <br />PLOZ' PLAN TO IIE DRA���N AT AN APPRO°RIATE SCI�LE <br />� .1 <br />` e � <br />.� <br />R <br />``. I �) <br />� <br />I/we certify that the proposed constr.uction toill conform to the above <br />plot plan(dimensions and uses) and that no change will be made orithout <br />first obtaining approval. <br />� i <br />-- �. �? � r <br />' A?plicants signature npproval Date <br />