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PLo�r F�r,,�rr <br />o«�ar_,R_/l]�� �'��� - /3h�3 /—" �L�=�r�'�� __ � <br />70U 11DDRESS �-'% %/"J jG �y ST�'e'�'% <br />LGGAL DL;SCP.IP1'ION: LOT 13LOCK OP <br />n.pplicant shall complete thi.s f.orm shoo�ing all dimensions oF t}�e nrop�r.t:y <br />sLrucl-ures, and property lines ans distanccs bettaeen al.l existing ai:d oro- <br />posed structures. Also shoca location and dimensions of a11 str.eets, <br />rights of ways, alleys, public facilities, easements and unQercJrour.d <br />utilities. <br />IiIDICA'.,L i;ORTH IN CIP.CLE A?:D SHOT•1 ALL STRL''ETS AND ALL�YS. <br />PLOT PL[lN TO B� DR71i•TiQ AT AN 11PPROPRIATE SCF.LE <br />I/we certify that the proposed construction t•�ill conferm to the above <br />nlot plan(climeii,ions and uses) and that no changc riill be made without <br />first obtaining approval. <br />, %�'�ZG'e-� _�'9r ('-G�.%��j,' <br />1- A?plicants signature Approval Date <br />