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PLOT <br /> (Draw . <br /> TO <br /> 1. Names of streets or roads nearest to or boufiding the properly. <br /> 2. Outline of the property, <br /> property3. Dimensioned outlines and locationsof allexistingand proposed structures,including povered areas such as patios, <br /> driveways and walks. <br /> 4. Location of house sewer outlet, pubip];c sewer, sewage disposal system or proposed sewage disposal system. <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5,1 Location of other wells within radius of 150 feet on the adjoiningproperty. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> ETIENNE <br /> ME MIK N <br /> ■■■®■MM ■■■ ■■■ I■M■■EEEE <br /> ®■■■■■■■■■E■�■tel.,!■■■■■1� eE® <br /> ®■Ee■■E■■■E■iIJ i�■■ ERRE <br /> ■■■■MEREEE■�E■■E■■EEE� � <br /> ■■■■■■!N■■EEE■MEMEMMEMEMEMIN <br /> ■E■■■■EEl1 ■■e <br /> ■�■■■■■■ ■IEEE■■■■E■■��■rer■e■■ <br /> R■oms= ■■■■E■■EREE■R■E■■■■■■ <br /> E■■®EE■ ��■E■ eEE■■®ERRE■R� <br /> I��E■■■Ea■■�■■Ree■!■die■■i�■■■■■■■ <br /> go MEIS■ "'� ■■ NMEN■■ENEEME <br /> iS■■®■ M ■■■ ERRE ■e■■■■■■■■■■■ <br /> Iv®Eee®■s E■■■■ EME�E■■■■MIE■■■■■■E <br /> P�Wwrr"��ii�rr�rr'�'i■��rr�r�r �rr�w�rAW��iir■i�rr�irrrrrr"�rrz�■ <br /> -NLIEMEME■ ■■ ■■■■■EERIE ■ <br /> CHER■■SEEM■ eE�MEE■■■ EE■■■E■■■■■ <br /> 1�� ■S■'■M■■■EEE !■■e■■■■■■■■11■■ <br /> r ■■■■®■ ■■■■■■■■ ■■■■■■■■■ <br /> ■■® i■■■■ M■ ■�■ MWS■■■■e■■ <br />