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PLOT <br /> (Draw <br /> 1. Names steeets or roads nearest to or bounding the property. <br /> 2. Outline n - • ••^ • • • • • • • a <br /> 3. Dimensl,o''ned outlines and locationsof all existing and proposed structures,including covered areassuch as patios, <br /> • ivewa s and <br /> 4. ocatiol�j]of house sewer outlet, public sewer, sewage disposal system or proposed 5pwage disposal system, <br /> o <br /> 1 •. • f •' • •• • • er • R••• ! G <br /> 5. oca 1�of other wells within radius of 150 feet on the property or adjoining p <br /> 1! roperty. <br /> ing property or within a radius of 150 feet. <br /> JI t ■■ ■■■■■■�■■■■■■■ ■ <br /> NEI <br /> Mal <br /> ®■101 M■■■■■■■■■■■■■■■■■■■■■■r■■� <br /> MI■UM■■■■■■■�■■■■■■■■ r ia■■■ <br /> 01:■.:■■■® ■■®■■■®■■■■® <br /> ■�■��■■■■■■■■e®■®■ieeoeiiiiiei■■ <br /> ME <br />