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PLOTLAN <br /> raw T !e <br /> Y. Names of ree eare�to o�b <br /> C O 1 <br /> ­ :-flutlirt'of e r e � '0�tproperty. <br /> Y� 9tvmg d s an direction. <br /> 3: Dimensio d ou ation Il existing and proposed str ctures,including covered areas such as'atios <br /> } driveways nd a k' 1 <br /> w E. <br /> , �4. Location house s - <br /> wer outlet, public sewer, sewage disposial Isystem'or'proposed sewage disposal system, <br /> Proposed pension.of.sewage disposal system, or ar)y other potsible source-of contamination'. <br /> 5 'Location other wells within radius of 150 feet on the properlty r adjoining property. <br /> ..6..-`- ocation{� .sewage,disposal system,on ad'oinin <br /> } g.property or 'n+it in=a radius.of 1.50 feet. <br /> f <br /> N <br /> - Jl <br /> II <br /> .y <br /> 'F <br /> �tl <br /> y _ i <br /> if <br />