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QTP L A N <br /> (Draw To Scale) <br /> SCALE---,, TO--.—, <br /> 1 Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of theWand North direction. <br /> ,property, giving dimensions <br /> 3. Dimensioned Alines and location all existing and proposed structures,including covered are: such as patios, <br /> driveways <br /> 4. Location of 1�61. <br /> loutlet, public sewer, sewage disposal system or proposed sewage disposal system, <br /> proposecl expaf-,5i Tt�isewage disposai system, or any other possible source of contamination. <br /> 5. Location of ottler';tielis <br /> ijithin radius of 75 feet on the property or adjoining property.' <br /> 6. Location of sewage on adjoining property or within a radius of 150 feet. <br /> 1.V <br /> iAr t� <br /> 10 <br /> �. f <br /> J <br /> ........... <br /> C <br /> C <br /> _-KIJ i7t7#,46P <br /> 4 i <br />