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4 <br /> PLOT FLAKY <br /> (DRAW TO SCALL) r� <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: •l_' �r.;[s ,. 6 <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including __ __ <br /> covered areas such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. <br /> 5. Location of other wells within radius of 75 feet on the property or adjoining property, <br /> 6. Location of sewage disposal system on adjoining property or .within a: radius of 100 feet. ; <br /> ......... <br /> , <br /> ; . <br /> ........... .... - <br /> L <br /> ....................... <br /> ------------- <br /> -' -• <br /> , <br /> , <br /> PT <br /> yfa <br />�. ........ ._. -------- .._ .._ ... __. ...... ... <br /> ' <br /> , <br /> .........{ r <br /> r <br /> , <br /> , <br /> ; <br /> , <br /> , <br /> r , <br /> ; <br /> r <br /> ; <br /> r • r .. ._. ... _ <br /> , <br /> : <br /> : <br /> t ' <br /> -_• - ,.. <br /> ; <br /> , <br /> , <br /> i ....... _ _._ <br /> f.. <br /> .......... <br /> ................:... <br /> .....................:.....c_.j,_..... <br /> .. <br /> r ...... .......r._...,.�..... ... _ s� <br /> I <br /> : <br /> 11 <br /> 9 3;.i.1S �, <br /> : <br /> • <br /> : <br /> , <br /> , <br /> r ' <br />