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ate_ � 1I <br /> PLOT PiLanl <br /> (Draw To Scale) <br /> SCALE - " TO-' <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 /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. <br /> 4. Location of house sewer outlet, public 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 1Z,kL`ocation of,.other wells within radius oft75:.feet'on tfie,property or adjoining prope�ty.J'� :�%;_ <br /> 6. L6cation-otsewage disposal system on adjoining property or with in Ra~.iradiusi'of 1.50 feet. J <br /> I 1 3 <br /> NX <br /> I l <br /> _ I I <br /> i <br /> I <br /> • '1.y. ...� 'Y t; ��`... �5t 3 is y�y�1 '_ <br /> — r _ <br /> I <br />