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/IP L O P L N <br /> 01-MER V• tiY u c - <br /> JOB ADDRESSI '1 /` JY <br /> LEGAL DESCRIPTION: LOT Z _7 DLOCK eoo - ( - <br /> 7� -7 . ��o &� E i a o f� - TC, U) <br /> n- <br /> L . /D.� 61d <br /> �.. <br /> 44- <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 show location and dimensions of all streets, <br /> rights of ways, alleys, public facilities, easements and underground <br /> utilities. S � ' <br /> • ze -1 ;tr• , <br /> INDICATE NORTH IN CIRCLE AND SHOW ALL STREETS AND ALLEYS. <br /> PLOT PLAN TO DE DRAWN AT AN APPROPRIATE SCALE <br /> 666 <br /> r cy <br /> • T , <br /> I/we certify that the proposed construction will conform to tae above <br /> plot plan (dimensions and uses) and that no change will be made without <br /> first obtaining approval. <br /> Applicants signature Approval Date <br /> t <br />