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f <br /> h0T PLAN <br /> (Draw To Scale) <br /> SCALE - " TO- <br /> 1- <br /> O1. Names of streets or roads nearest to or bounding the property. <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 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. <br />• ! � I --�- i i i <br /> FF <br /> ! li <br /> � E <br /> lI f Zl.0A h I � I <br /> i <br /> I <br /> i <br /> E <br />