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u <br />s , . <br />ONTNER <br />JOB ADDRESS <br />LEGAL LESCRIPTION: LOT <br />P L 0 T P L A N <br />BLOCK OP <br />Applicant shall complete this form showing all dimensions of the property <br />structures, and property lines ans distances betwecn all existing and pro- <br />posed structures. Also show location and dimensions of all streets, <br />rights of. ways, alleys, public `acilities; easements and underground <br />utilities. <br />INDICA:fi NORTH IN CIRCLE AND SHOPI ALL STREETS AND ALLEYu. <br />PLOT PLAN TO IIE DRAWN AT AN APPROPRIATR SCALE <br />z �56' <br />r <br />�' <br />I/we certify that the proposed construction euill conform to the above <br />plot plan(dimensi.ons and uses) and t t no change will be made without <br />first obtaining approval. <br />� i <br />' A�pli a�ts signature Approval -� <br />.. 'i., ' <br />�� . n��t . <br />r:' <br />u <br />