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ti <br /> 4` PLOT'll' LAN r <br /> (Draw To Scale) ' <br /> SCALE " TO <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 /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. 1 . <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,1'50 feet on the=ro eet or'adjoinin +, ro"Ort <br /> P P Y _ 1 . g•p p Y��. ., . <br /> 6. Location of sewage'disposal system on adjoining property-or within a radius of 150'feet. <br /> titpA <br /> --1-- -!- - -- -- -- <br /> ,t <br /> — T ''.�. �'� �vm n.,�� .:r►•� tea: '., 4 <br /> { <br /> 4 - <br /> f <br />