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Your Neighbor's
Name & Address
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Your Plot - Shape to Fit
(No Scale)
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Locate well, all streams, irrigation ditchs and any water cou
septic tank & system, de ached garages, and drive
If a change of location is necessary, yo must submit a corrected dr
Certificate of 4c pation will be issued.
in your house,
County Road (Note the Road Number and Name)
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Your Neighbor's
Name & Address
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