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P L O T P L AN <br />OWNER <br />JOB A <br />LEGAL _ __ <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 />INDICATE NORTH IN CIRCLE AND SHOW ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRANN AT AN APPROPRIATE SCALE <br />r� <br />10 <br />a, <br />I <br />n <br />< 3N' '-!p <br />-�l <br />I/we certify that the proposed construction will conform to the above1 <br />plot plan(di.mensions and uses) and that no change will be made without <br />first obtaining approval. <br />Applicants signature Approval <br />1� <br />Date <br />I <br />