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' PLOTK:N <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. <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 150 feet on the property or adjoining property. <br /> 6. Location of sewage disposal systern'on adjoining property or'Within a radius of`150 feet. <br /> t �'i a i.,.; � �:� ��. "� � �� •>i I ..�., `�1` ;4l� ...-� -rJ ��.'- :J�..` r•' >1 3 _.(''''.�.-�`. <br /> i I _ <br /> -- u1 F4f- <br /> v i I <br /> Y <br /> I <br /> i ' <br />