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i <br />� <br />9 <br />1 • P L 0 T P L A N <br />OPiNER � (�y1AV �-i �'1' a '�'�(�', � . <br />JOB ADDR�SS ��� 7 � I �J 1�� (�p -��� l I`'��- � <br />.LEGAI, D�SCRIPTIC:d: LOT ���- IILOCK i�-� OP <br />c <br />Applicani: shall complete this form showing all dimensions of the prbperl-y <br />structures, and property l�ne� ans distances between all existing and pro— <br />posed structures. nlso show location and dimensions of all str�ets, '• <br />rights of ways, alleys, public facilities, easements and underground <br />utiliti.es. ' • <br />� <br />� <br />r <br />.b <br />INDICA':i NORTii IN CIRCL� AND SfIOf•1 ALL STRErTS AND ALLEYS. <br />PLOT PLJ1N TO BE DF2AS+TN AT AN PPPROPRIt1TE SCALE '. <br />a-a��j �� <br />g I,y ;;'" 1 <br />j -- -- - - -- -t , <br />• �1�v� ,.p.,s- . � <br />_ _.. _ _ - ----�i <br />• �\I� L� . <br />I/He certiLy that the pr.oposed construction �eill conform to the above <br />plot plan(dimensions and uses) and that no change �aill be m�de without. <br />first obtaining approvaZ. <br />, F <br />�� ; �� t � . _ �.- ,r • . <br />Applicants sig ure 1lpproval Uatc <br />0 <br />