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P L O T P L A N <br /> OWNER �rt,�w a , {�r_dc� (iVto k <br /> JOB ADDRESS <br /> LEGAL DESCRIPTION: LOT BLOCK OF <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 /> 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 obta ning approval. <br /> App icants signature Approval Date <br />