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P L 0 T P L A N <br />OFTNER <br />JOB ADDRESS �/ �/f �j�p���nJ �lJl�f <br />LEG�L DESCRIPTION: LOT� BLOCK Oc� � OF ( aSfrv�'�� �P ✓✓'�C P Z <br />Applicant shall complete *'�is form showing all dimensions of the property <br />structures, and property lines ans distances between all existing and pro- <br />nosed structures. Also show location and dimensions of all streets, <br />rights of ways, alleys, publi� facilities, easements and underground <br />ut�iities. <br />� ZNDICATE NORTH IN CIRCLE A*ID SHOi4 ALL STREETS AND ALLEYS. <br />��� <br />PLOT PLI�N TO BE DRAWN AT AN APPROPRIATE SCALE <br />;-- -- ..� <br />;� <br />. �� <br />� <br />I ��; � <br />,� ; <br />..��-.�r:��.�� <br />� L . �2� I Gr�� <br />� ---- -_-- ---- � <br />,� , � �; <br />. <br />ti� � � <br />�. ,�- <br />,_,.. <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 �pprov3l. , <br />�� /n <br />J`✓ic � �"� �� �/�C��i'f��'!�' — <br />'� A,.�pliy@ar7ts signature Approval Date <br />� <br />� <br />, <br />