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� P L 0 T P L A N <br />OT4NER / /i t' ; " ,' ' / ! rr . <br />JOII ADDRESS �/ , V.�L��' `r �- �-- <br />, �, , <br />LEGAL DfiSCRIPTION: LOT-�. II��-'=-'O�'' 1� G' �-z.'i /✓�r'�`�� <br />, r ; � , <br />'�� � of � l��lr�o�� l ✓.���� a :� �2.�e� :'',. . , �s � ;`�rL�"�'��:� <br />�, � � . , <br />�o �' � �- � . .> Q � � `o /n -1 . / �� ', p c<..,-� -Z � � <br />- , � - '. � v(�- <br />Applicant shall complete this form showing all dimensions�of �the property <br />structures, and property linas an�distances between all existing and pro- <br />nosed structures. Also show location and dimensions of all streets, <br />rights of ways, alleys, public facilities, easements and un�erground <br />utilities. <br />INDICATE NORTH IN CIRCI.E A14D SHOf9 ALL STRFETS AI�D ALLEYS. <br />PLOT PLI�N TO IIE DRAS4N AT AN APPROPRII�TE SCALE <br />I/we ccrtify ihat the proposed con^truction will conform to the above <br />plot nlan(dimensions and uses) and tlzat no change will Ue m�de without <br />first� obtainin� approval. <br />�� r : ; - <br />Applicants signature Atiproval Date <br />f . <br />S <br />