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PLOT PLAN <br />OWNER <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT L, BLOCK -or — <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 />TE NORTH IN CIRCLE AND SHOW -ALL STREETS AND ALLEYS. <br />PLOT PLAN TO BE DRAWN AT AN APPROPRIATE SCALE <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 />Applicants signatu Approval Date <br />U <br />.M �&- <br />