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y- PLO T`9-Wi <br /> (Draw To Scale) <br /> yW <br /> SCALE " TO t0`r <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> f 3. Dimensioned outlines and locations of all existing'and proposed structures,including covered areas such as patios, <br /> driveways and walks. d . ' - .1 1 -µr <br /> f 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 /> k. <br /> 3 AIt <br /> law <br /> E — I <br /> { <br /> j <br /> I_ <br /> I <br /> - j <br /> I <br /> I <br /> r <br /> f <br /> t <br /> 1 <br /> 'c <br /> .... - _ <br />