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n L O T P L A N <br />O��JNER_�/1'[r4'riv /�:,�r's �'�c C <br />JOB ADDRESS ��/p�� c7r.� �F,i��- 5 F �• / <br />-'r���-- � G C'ias�/ <br />J�EGAL D�SCRIPTION: LOT�_ BLOCK OF �ry•��i�,, ,_���„� �,�, r„ r�' ,� <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 shoc•r location anc dimensions of all streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. <br />I/we certify that the proposed construction caili conform to the above <br />plot plan(dimensions and uses) and t no change will be made without <br />i`.irsi. obtaining a proval. /� <br />��/� �,. % / _ �1���.tlr�uf/..�' ¢/Zt7 <br />7� <br />App icants signature Approval at <br />