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PLOT <br /> (Draw <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving . <br /> 3. Dimensioned outlines and locations of all existing d proposed structures,including covered . <br /> disposaldriveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage ... disposal <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of 150 feet on the property or adjoining property. <br /> Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> ■��■■■iiii■■■i=ce■i■ii■■i�H■ <br /> ■ ■iiiON ■i�i�l■NI�/■I�i■i■i <br /> ■VOM:EMIUMir <br /> i ■V 591 �li�il■Iliiiiii <br /> ■i■i■■MIIi'.: MMMUMNI■Mil■� ■■■■■■ <br /> ■�■i MMMIIilii ■OI■FAWIMM■i1I1 ■ ■■■i <br /> ■■■■i®■■11■IMilii■II��II��I�� l■11■ ■®■ <br /> ■■■®■■■illil �.ii■'!�//�iiil■II■iiiii <br /> ■i■i■■iillii■■iii'�■'®(�i■�■�II■ii�■■ <br /> ■i■i■■■■11■■■■■�o� X11■■■■1■11■■■■■■ <br /> ■�■■�■■11■■ice■■�.l�iill■■■■1111■■■■�■ <br /> ■■■■■■■■1�■■■■i 'i■�iiiiii�111■■■■■ <br /> ■■ii■■■'IMMM ■\;•111■■■■i111 <br /> ■■■iiii!! Ii■■I Ilii ■■■iiiiil1111iiii■ <br /> ®■i■■■■■I�i�■I��i■�ilJmi�■■�l■Ili■■■■■■ <br /> ■iiiiii�l�v■ICI■i■■®■��■®iltlliiiii■ <br /> IMMMMM■ i ■■■� ■■■■i■11■■■■■■ <br /> MMMMM <br /> ■■■■■ ■M■■ ■■M■ ■■■■■■11■■■■■■ <br /> ■t■iii IMMOMi■■■S■■■■■■1111100■■ <br /> 1111■■■ 1■■■■��■■�■�■■■■■11■■■N■ <br /> ■■■■iii■1��■i �■■■���i:C:����� <br /> ■■■■MMMMIMFM—W��M=��%.. ■■■■■■■`Er■ <br /> ■■■ii��/a■iii■■■�i iiii■iiii■■■ <br /> ■■MiiE/■■i■i■ii ;ta■■■■■■■■■■■■■■ <br /> ■i■■i■■■ii■■■■■■■�■�■�■ice■■■■■ <br /> iii■■■i�iiii ■�i■iii■�i■i�■i■ <br />