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,. <br /> Af <br /> MOT,PLAN <br /> -(Dra�vtio Scale) <br /> LE <br /> SC .. „ T� r <br /> i <br /> 1. Names of streets or roads nearest to orb nding the property. . <br /> 2. Outline of the property, giving dimensions and North direction. ` <br /> I 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 /> E 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. . S <br /> 6. Location of sewage disposal system on'adjoining property or within a,radius of f150-feet. # y <br /> t-117 <br /> --- <br /> I r - <br />�. [ <br /> I <br /> r <br /> r <br /> 3 <br /> r' <br />