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Y <br /> PL T�PLAN <br /> (Draw To Scale) <br /> -SCALE " TO f <br /> 1. Names of streets or roads nearest to or bounding the property. ; Q �r <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. Location of other wells within radius of 150rfeet on the'propertypor,adjoining.pro-pert <br /> yn <br /> 6. Location of sewage disposal system 6h adjoining property or within-a radius of 150 feet, <br /> jp <br /> FTV <br /> r <br /> I t <br /> -�- -_ <br /> i <br /> R 4 <br /> h <br /> K <br />