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P L Q T P L A N <br /> OFINER <br /> JOB ADDRESS — <br /> LEGAL DESCRIPTION: LOT IILOCK OF_ <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, public facilities, easements and underground <br /> utilities. <br /> INDICATE NORTH IN CIRCLE AND SH0T9 ALL STREETS AND ALLEYS. <br /> PLOT PLl�v TO BE DRAWN AT AN APPROPRIATE SCALE <br /> � Lv tiG,-,� „� <br /> ¢z . <br /> � r-�� 1� <br /> � j � � <br /> - I i' <br /> � � _ <br /> _5 <br /> �� <br /> I/we certify that the proposed construction cvill conform to the above <br /> plot plan (dimensions and uses) and that no change will be made without <br /> first obtaining approval. <br /> A7plicants signature 1lpproval Date <br />