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0[4NER <br />JOB ADDRT:'SS <br />LEGAL DESCRIPTION: LOT <br />P L O T F L A N <br />BLOCK OF <br />Applicant shall complete this fozm shcwing all dimensions of the property <br />st�uctures, and.property lines ans distances between a.11 existing and pro- <br />ppsed structures. Also shc:: location and dimensions of all streets, <br />r.ights of ways, alleys, public facilities, easements and underground <br />utilities. ' <br />INUICATE NORTH IN CIRCLE AND SHOi`i ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRAWN AT AN APPROPRIATE SCALE <br />I/we certify that the proposed construction will conform to the above <br />plot plan(dimensions and uses) and that no change will be made without <br />first obtaining approval. <br />� <br />Applicants signature � Approval Date <br />