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P L O T P L A N <br />�4= OhINER <br />JOB ADDRESS 471-? / 9 g 3 �� <br />LEGAL DESCRIPTION: LOT BLOCK_ OP __ _ <br />Applicant shall complete this form showing all dimensions of the property <br />structures, and property lines ans distances between all existing and pro- <br />posed structures. Also show location and dimensions of all streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. <br />a <br />INDICATE NORTH IN CIRCLE AND SHOW ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRATIN AT AN APPROPRIATE SCALE <br />6 <br />�S; <br />I/we certify that the proposed construction will conform to the above <br />plot plan(di.mensions and uses) and that no change will be made without <br />first obtaining approval. <br />�: Applicants signature Approval Date <br />