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P L 0 T P L A N <br />otaNEa �_EE �%t1rJ(c��,VK�E <br />JOLi ADDR�SS <br />LEGAL D�SCRIPTT_ON: LOT� BLOCK _Or E1I�.2FT ��•�= 1 I.,S <br />E�Si �/i�c�' .�� / ni /�" � <br />Appl.icant shall complete t}�is fcrm shcwirg all dimensi.ons o� the property <br />siructures, and property lines ans distances between all existing and pro- <br />posed struci:ur.es. Also show location and dimensions of all streets, ' <br />rights of trays, alleys, public facilities, easements and widergrou.�d <br />utilities. <br />INDICA".'E NORTH IN CIRCL� AND SFiOf`T IiLL STREETS AIdD ALL'EYS. <br />PLOT PL71N TO IIE DI2��A7IQ Al' AN APPROPRIATr SCALE <br />I/ive ccrtify that the proposed constructior.�oill conform tc the above <br />pl.ut plan(dimensions and uses) and that no �hange will be made 4;ithout <br />iir�r oUtaininy approval. <br />�� ��✓o.�, �` �v.�z� <br />Applicants signature Approval Date <br />, <br />