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r 4`PLOT ACAN"- <br /> `" x (Draw To Scale) <br /> ,SCALE ,; <br /> TO <br /> 1. Names of street s-a Dads nearest to or bounding the property,-. a . <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 /> i4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage.disposai 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 oriadjoiningyproperty.;j k '{ <br /> 6. Location of sews e'dis osal s stern'on'ad b' inin l' ' '7' ` <br /> 9 p Y 1 g property or within a radius of 150 feet. <br /> Ir <br /> y7-- <br /> 4-S <br /> 4- Sr* 100 <br /> -i - J - - <br /> ri <br /> y rr <br />