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P L O T P L A" <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT BLOCK OP <br />Applicant shall complete this form showing all dimenS.ons 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, public facilities, easements and undergrour <br />utilities. <br />I/we certify that the proposed construction will conform to the above <br />plot plan(di.mensions and uses) and that no change will be made "ithout <br />first obta( ningJ)aapproval. <br />Applicants siguat-ut:c Approval D�tc <br />