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.. .. ... . � n ....ten.... .. �... ..... .... .�.. �.�. .... <br />P L 0 T P L � A� N <br />OWNER a,C ✓ /-e //L'�' ! -C s e- ' <br />JOB ADDRESS ZO 19 l S R S t S.E. <br />LEGAL DESCRIPTION: LOT BLOCK of <br />Applicant shall complete this form showing all dimensir, of the property <br />structures, and property lines ans distances between all existing and pro <br />posed structures. Also show locatic.n and dimensions of al.1 streets, <br />rights of ways, alleys, public facilities, easements and underground <br />utilities. <br />m INDICATE NORTH IN CIRCLE AND SHOW -ALL STREETS AND ALLEYS. <br />PLOT PLO0 BE DRAWN AT AN APPROPRIATE SCALE <br />s. <br />S � • <br />1-4 <br />I <br />1 1 <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 />Appl nts signs ure Approval Date <br />