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P�O�$LAM <br /> (Draw 7o Scale) <br /> SCALE " TO- <br /> 1- <br /> p1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> I 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 150 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet.. t <br /> I <br /> j I <br /> � i I <br /> � ! t <br /> r I <br /> f <br /> i � I <br /> i <br /> • I <br /> . I � <br /> i <br /> 1 <br /> I <br /> I <br /> I <br /> i <br />