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RLZ> PLAN <br /> [: (draw To Scale) <br /> I SCALE_—_._" TO <br /> y - 1. Names of Streets or road:-, rwj4rest In or hounding Me property. - <br /> i1 2. Outline of the property, giving dimensions and North direction. <br /> I Dimensioned outlines and locations of all existing and proposed structures.including coveM-0 areas such as al os' <br /> E i driveways an,'walks. <br /> 4. Location of house sewer outfel, puhiic sewer, sewage dispot at system or proposed sewage disposal sysl!rnl <br /> " I proposes: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 or adjoining property. <br /> 1 6. Location of sewage disposal system on adjoining property or within a radius of 15g !eet <br /> 1 ( <br /> I I I <br /> j <br /> ..���I , <br /> II `�� e � i I ' II l i i •' I I <br /> i I i Li <br /> Ei E <br /> I Ir ,i <br /> I I I I I E } <br /> 1 <br /> 1 H <br /> I- -+ I + I ! <br /> _ 1 <br /> nit <br /> i <br /> I h <br /> k �- <br /> LA - --� <br /> } <br /> fl <br /> I1 ! <br /> II <br />