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� tom. � e,�. • . i <br /> f PLOT:PLAN ,t <br /> (Draw To Scale) <br /> SCALE .'TQ <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 l_ocationsofallexistingandproposed structures,including covgred.areassuch aspatios, <br /> driveways and walks. ` <br /> 4. Location of house sewer..outlet, public sewer, sewage disposal system or prdposed sewage di"spo'sal system, <br /> proposed expansioh of sewage-disposal system, or any other possible source of contamination.' <br /> 5. Location of other wells within radius of 75 feet ora the property or adjoining property:. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> ! <br /> 4 _ <br /> Y - <br /> t, <br /> t <br /> f t <br /> rc <br /> • 5 <br /> ---- -- - - --- ---- <br /> i INC. "-Et :• a{., :.4: 3 :' <br />