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PLOT <br /> (Draw To Scale) <br /> TO <br /> 1. Narnes,of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, dimensions and North direction. <br /> Dimensioned o - • . . . proposed structures,including - d areassuch as patios, <br /> driveways and walks. <br /> 4.. Location of house sex�er outlet, public sewer, sewage disposal system or proposed sewage disposal system. <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other-wells within radius of 150 feeton the property or adjoining property. <br /> 6. Location of sewage dis'posal system On adjoining'prQper-ty. or withira.radius of 150-!e6t.--'* <br /> r <br /> E ■■tic.■■ice■■1 �!■ 7■■NAME■■■■ <br /> A-"AA NOMA", MINEMMOSIME <br /> Ica <br /> ■■■■■■:i W- ■■cINUcI ANEMONE <br /> ■■■■■■■■ ■■■��1M■■■■■■■■i■_■■■EGM■ <br /> SOME ■■■■■�!;0"EME■■mum M■■ <br /> NN■■E■■ ■■■■1 I■®■■■■■■■■Po1■�■■■ <br /> ■■■rMEMO■■ ■M.E.■■■■ ■■■■■■■ IMENEEMEMMEME■ <br /> IN■M■®® ■■ ®■®■�■®�l■'■■■ <br /> 0 <br /> ■WA ■ ■■■■■■■■■■■■I■■■i■■■ <br /> ■®®®�■■ilii■�■■■■■■■■■■■I■■■■■\\�■■ <br /> NEEM■■■■ IM ■■■■�■■_' ■!lflll7■k�i <br />