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Q ,at LO-T PLAN a <br /> (Draw To Scale) <br /> 1. Names of streets 0,r roads tlearest to or l3ouhdiTi�,'Qle property. <br /> 2, Outline of the property, giving dimensions and Noih direction. <br /> 3. Dimensioned outlines and locations of all exisfing 11d proposed s#ruc#ores,including covered areas such as pUtio4, <br /> driveways and wanks. I' <br /> a. Location of !louse sewer' +cutlet, PLIbliu sewer, sewage disposal system or proposed seviage disposal s}rstt,i l: r <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other well^ within radius of 75 feet on the property or adjoining properly_ <br /> 6. Location of sewage disposal system on adjoining property or within a radius of,150 feet. <br /> I <br /> Fl <br /> 1 I <br /> I <br /> T. <br />