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PLOT'...' <br /> F PLAN r t f <br /> (Draw TorScale) <br /> ? a F <br /> 1. Names of streets of 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 1sewage disposal-system, <br /> proposed expansion of sewage disposal system, or any other possible source of contami a n. <br /> ' 5. Location of other wells within radius of 75 feet on the property or adjoining property. .'aj . <br /> 6. Location of sewage disposal system on adjoining.property or within a radius of.150 feet. <br /> �w <br /> ,: <br /> YY <br /> a- <br /> v, <br />