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P L O T P L e1 I! <br />Oi4NER . . , i'. .i L <br />JOI3 ADDRGSS = ' �� ' <br />Li:Gr1L D�SCRIPTION: LOT ,. � ISLOCK OP_ <br />—y - <br />t,;;plicant ::h..ill. complete this form slio��ing all di.mensions oS tli� cr.operty <br />sLr:uctures, and property lines an., disLances beCeveen al1 e::ist-ing �iud pro- <br />,�osed :�tructuz�es. Also ,'.�o�:� locntion a�td dir.�cn:.ion; of a1.7. sLre�t�, <br />r.ights of ,.;:yc, �11��ys, Publ_i.c 1.'aci_li'_i_c�, ��,i:s:.�:�,�,nt, aa�? un�lcr�,�cc_�d <br />utilitics. <br />It2DICA'�L i:OItTH T.I CIRCLL' �l;D SflOPI.ALL :iTRPP:'P:� Ai4D ALL'.:iS. <br />—�` _ <br />PLOT PLAIQ TO UE Dl2elf7:J i�T AN APPROPRIi\':i3 SCAT,G <br />� <br />� <br />+� �--- ----�-- '-- - - ---- ---�� _i � G ' <br />. �.. <br />�_. . <br />U � � y. 6" / Vi. � ... <br />- ' _ _ �,' .- I •' • �/j�V % G �1 __ j�_ 6 <� r_'�.i <br />I/we cerLify �L-hat the proposcd constr::ct:ion �•�ill conf:orm t.o L-he above <br />plot plan(di.mensions and uses) �nri that- no chanye eaill bc� m:1de ��iL-houC <br />first obtaini�ig approval. <br />n�pli.cant� sicJnature ��F���roval ���� <br />