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PLO:!' PL?1�T � •�• • � <br />APPLICI:'7i ��ll' `���I��r � liF_i',,�� '��lti;�i_ lf�lU��.i. � - <br />ADllRI;SS '�C)I (-, 7"� R-0 j�j' •' �_ .�;'� F,{—�—� ';_t� i�',FI � ' _ <br />sou -n ic7,3i' � /i �p ._� <br />L�G11L Di:�CR:CPiIO'.d: LO':' � I]LOC.I�� � nDDI.^•.SO�I •`_�HO�'E-'�C�'E.; _ <br />U;Il'LA::��: • � '- <br />T1�i:: fo.r: shall }:c complet•cd by l•hc applicanL- :;hoi�ing all dimmir..ion� ot tl�c prapeTCy. <br />Show all cir.�ensions o� tl:c slructurc.(s) and dimensions to pr.operty linos. Sho�r all.. • <br />eacenents ead ol•hcr. public facilitics located on or �+iL)tin the subjecl prnp��:L'y. <br />. 1 <br />. i <br />!I� <br />, t�� <br />PLO� PL'_: ^_O <br />��.:�: ., <br />BE D. ,,,., <br />i,': A?�:::_'ZT_A'1'� <br />SCAL�. <br />IIdDICATP. 1:OR31! 1!! CIRCLE A17D SUOf•1 STP.EIiT$ A1:D ALLEYS <br />Ir;. <br />1 <br />i <br />( • <br />=1�r:. <br />.. : .. . ' . ., <br />. •� <br />. __ _-t <br />--- �� __ --7 ` � <br />�-- _ _ . �. <br />� �LZ.L"� �` <br />� �� � �,i. C ' . <br />� }j. �,�_ . <br />1 J_) ' <br />� <br />. I E� ; - .-_ '_� :1: , <br />'�:. --1=�-� _�� , . <br />, � ap�i;'-� <br />��' i.. . <br />./�' <br />� P�� p' � ., . . <br />� � \ ��=�� � . <br />\ �. <br />.:'� ' �. _ ' .. . <br />_ �� � , <br />�: . . <br />� <br />i �,' <br />,I . <br />_ , rr <br />iQ <br />r, . <br />��� ; <br />1; <br />i <br />� . <br />, • � . <br />I/�,e ccrti.y that thc. propo ,ed const.rucCion �uill confor to thc suUmit':ed plot plan , <br />(dimensic,-.s�anil uses) and that no ch�ngc will bc madc withouC first obl•aining approval:� •� <br />NI�h11:: ' • ' . • •• . 11PPli0VAL DI�TE ' ,� <br />. � ' „ . <br />. .• . . <br />