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� <br />P L O T P I. A N � <br />ONTt�ER <br />JOH ADDRESS_ — <br />LEGAL DESCRIPTSOC?: LOT BLOCK OF <br />, <br />Applicant shall complete this form showing all dimensions of the property <br />structures, and.p�operty lines ans distances between all existing and pro-_ <br />posed str•zctures. Also show location and dimensions of all streets, <br />rights of taays, alleys, public facilities, easements and undt�rgroald <br />utilities. � ' � <br />�� <br />� <br />INDICA;E NORTH TN CIRCLE AND SHOi4 P?,L STREETS 2�ND i1LI.EXS, <br />PLOT PLAN TO BE L"RAWN AT �1N APPROPRIATE SCALE <br />hi� <br />I/we certify that the proposed constructi.on will conzorm L� �a�= ���-� <br />plot plan(dimensions and u:ses) and Lhat no change will be ma3r without <br />firs obtaining approval. <br />U <br />� �roval Date <br />� Applicant�' ig r tur P� <br />�. . <br />