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P L O T P L A N <br /> OWNER < .4_ <br /> JOB ADDRESS <br /> LEGAL DESCRIPTION: LOT_ BLOCK OQ(JOr. <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 /> i <br /> _ /00 — <br /> I <br /> vo- r <br /> i/we certify that the proposed constrZkon will conform to the abovo <br /> plot plan (dimensions and uses) and that no change will be made without <br /> first obtaining approval. <br /> • t c :._� 2lf1� <br /> �- App cants s gnature Approval Date <br />