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OWtJEI2 <br />JOII ADDRCSS <br />P L U '1' <br />i � ' <br />(/ �� J ,�,. i ! � <br />�r�/� � � <br />J,tiGAL D6SCRIPTION: LOT_ I3LOCK OP <br />nP[�licant- chr.il.1 complcte this fonn showin�7 all di.mensions oi lhe property <br />structur.es, and proper.Ly ].ine� ans distances bet.ween all exi.�L-ing and pro- <br />po:;ed strucl:urec. Also show loait'on and dimensi.on, of al1 streeLs, <br />r.ights ��f ways, alley�, puUlic 1`ac:iliti.es, casements and unQerground <br />ut:ili.ties. <br />INDICATE 14012TH IN CIRCLL AND SIIO�d •ALL STRGP•.TS AND ALLEYS. <br />PLOT PLAN 'PO BG DRAP7N AT AN APPROPIiiA'PJi SCALI: <br />I/we ccrtify thaL• the proposecl construction wi11 conform Lo th^ above <br />plot plan(di.maisions and u.^es) and that no change will be made withoul• <br />first oUcaininy approval. , <br />k/,`) "" , , , � �. � � � <br />Applic�nt� signaCure Approval Date <br />