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P L O T P L A N <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT_L,� BLOCR_.L_OF <br />J " <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. <br />I/we certify that the proposed construction will conform to the 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 />