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i' L O T P L n N <br />[�l�l�i f6i[7 <br />JOB ADDR�SS <br />LLG�L DESCRIPTTO�I: LOT BLOCK CP <br />Appl.icani: shall aemplete lhis Porm s11e;•�i.nq all,climensi.ons o` tlie property <br />structures, and property lines ans ciistances bel-tvecn all. e�ci.:,ting and oro- <br />nosed structures. Also shoca loca�ion aind dimensions oE all streets, <br />ri9hts of. �aays, alleys, pttblic facilitie�, e.asements and underground <br />uL-il.iL-.ies. <br />INDICATE PIORT[S IN CIRCLE AND SiIOf•I elLL STRErTS AND ALLEYS. <br />PI,O'P PLAid TO BL DR�lPlid AT AN APPRpnRIAT� SCAI�L <br />I. L. ✓ i� <br />W � <br />v� <br />IZ �'l <br />� � �� <br />�\ <br />�i � '� Jy <br />., <br />\ <br />� <br />Q <br />[!o�e certify Chat Lhe nroposed consL-r.ucl-ion ���i.11 conEorm to the above <br />p1oL- nl.rin(dimensions and uses) and thttt no change t�il7. Ue made o-�it�out <br />f.irst o1�L-,:�ining approval. <br />f/ , C� � ' S <br />_.��G _4"�a�- a-_4..,'�w .__—_ ___ —__ '_.____ _ '— <br />el?,,l.i.canl'.�, si.<�i:aCtn-e elpproval DaL-c <br />�'� <br />