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i <br />OWNER <br />JOB A <br />P L 0 T P L, A N <br />LEGAL DESCRIPTION: LOT BLOCK OF Sff i6c n C o Cn r PLn. <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 DRAWN AT AN APPROPRIATE SCALE <br />--------------- <br />'2�iY- A� <br />I/we certify that the proposed construction will conform to the above <br />plot plan(dimensi.ons and uses) and that no change will be made without <br />first obtaining approval. <br />Applicants s gnature Approval Date <br />