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-P!-Di�PLAN <br /> (Draw To Scale) <br /> SCALE Z " TO J20 <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 75 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 /> 3/7� <br /> ; <br /> AIDI <br /> Ilk <br /> 1 <br /> i ► 1 � � i <br /> I I <br /> G j <br /> f , <br /> '-T <br /> -�� ;--- - <br /> �._�� <br />