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� <br />P L 0 T P L A N <br />C� 1]�'"�i�;7 <br />JOB ADDRESS ,� Sy �,���� �� <br />LEGAL DESCRIPTION: LOT /� 7 IILOCK S"7P' VOF ��Q,r� /.Q�. Q�� <br />-��— <br />Applicant shall complete this form showing all dimensions o£ the property <br />structures, and property lines ans distances between all existing and pro- <br />oosed structures. Also show location and dimensions of all. streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. <br />� IIvDICAmE NORTH IN CIRCLE AND SHOP7 ALL STREETS AND ALLEYS. <br />� PLOT PLAN TO BE DRAS+IN AT AN APPROPRIATE SCALE <br />I/we certify that the proposed construction caill conform to the above <br />nlot plan(dimensions and uses) and that no change will be made without <br />first obtaining approval. <br />6L � � �i��-`'_— <br />Aop i ants signature Approval Date <br />