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—P.MT PLAN +' <br /> (DRAW T`0 SCALE) � <br /> SCALE 11 TO •` r ' <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 <br /> covered areas such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. , <br /> 5. Location of other wells within radius of 75 feet on,the property pr-.adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 100 feet. <br /> r ., <br /> s _ <br /> �i <br /> , <br /> a <br /> - " <br /> " : <br /> - ............... -'- --' ---- ---' ............... <br /> ....... ... . ... ... ... --._ - ---- ...... <br /> I <br /> SW <br /> - ....... _.. ..- - - .... . ... . ... ... _ .-. ...... ... <br /> r .--' <br /> . I <br /> ..... ... .... ....... ....... ... ... ... .. ... ........... .. <br /> I <br /> 4, <br /> I <br /> .. <br /> .... .... ..... ................... . <br /> • ' K <br /> i <br />