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PLOT <br /> (Draw <br /> SCALE • <br /> 1- Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> • -• outlinesand locationsof <br /> driveways and <br /> 4. Location ofhouse sewer outlet, • •lic sewer: sewage disposal system or proposed •- <br /> disposal system <br /> roposed expansion of sewage disposal 'system, or any other possible source of <br /> contamination. <br /> 5. Locationf0f,other wells within radiusof - on - property or adjoining • •;- <br /> r Location of .a ' disposal • adjoining propertY-OT within a radiusof I <br /> LWA <br /> ■■■�■■■■ M�■■�■u►■rte■■■®■■■ <br /> +� ■■■■■® ■■■■■tom■®■■■■r,��■■er�■ <br /> ■r■■■■■ <br /> IN <br /> ONE 1�■■■■■■■ ONS■� �■■�■I�� �■■■■ <br /> ■■■ _ f■■ ■■■■■■■■■■■■■ <br />