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III <br /> PLOT kAN <br /> (Draw To Scale) <br /> !i. . SCALE ` '" TO' <br /> 1. Names of streets or reads ilnearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> I Dimensioned outlines and I'ocations 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(stem, <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. A <br /> 6. Location of sewage disposal system on adjoining property or within a radius of .150 feet. <br /> I <br /> I i i I 1 I I <br /> E I I <br /> I I <br /> I <br /> � <br /> I I <br /> I <br /> t <br /> i <br /> j <br /> j I I <br /> i <br /> i <br /> li <br />