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P L O T P L A N <br />OWNER `�i ��; , ._ i- r i ' `.�in �-.7>: �_-L-' <br />�� .,� C <br />JOII AD�RSSS_ �i I Y_'�r� '�A".t--ct-,c t-�( �,cc_ � i�,2c L[� i r�� G-� <br />LEGl)L DP•.SCRIPTION: LOT �� I3LOCK �� OP � i , ��_�- <br />. � L��)t(/ l, ' 7%C� - <br />Appl.icant shall complete this form showini7 all dimensions of the properL•y <br />st-rucl:ures, and property lines ans distances betwecn all existing �nd pro- <br />posed sL-ructures. Also show location and dimensi.ons oL all sLreets, <br />r.ighCs of ways, al].eys, public f-acili.L-ies, easement� and undergrowid <br />util.it.ies. <br />INDICA';E nORTN IN CIRCLi: AND 5110[V.ALL STRS?i'CS I�ND AI,L�YS. <br />PLOT YLnI� TO ]3J: UR71I•7N AT 11N 7�PPROPRI71'P13 SCI�L� <br />I/wc certify that the proposed consi:r::ction w.ill confor.m to L-he above <br />p1oL- plan(dimensions and uses) and that no chmige will be made o�ithout <br />first obtaining appr.oval. <br />/ <br />' ���,r `,� i ,� � ' <br />R,�plicanis sighat-ure nppr.oval Date <br />