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PLOT ALAN <br /> (Draw To Scale) <br /> SCALE --"TO—' <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 anti locationsof all exlstingand proposed structures,including covered areassuchas patios. <br /> driveways and walks. <br /> a. Location of house sewer outlet, public sewer, sewage disposa! system or p•oposed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> S. Location of other wells within radius of 150 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system or.adjoining property or within a radius of 150 feet. <br /> I �-- <br /> i�; 1 I <br /> j — <br /> 1 <br /> � <br /> T-- <br /> I <br /> ' -QUI '- 1" •1 -' ~I <br /> _77 <br /> L! -r--' <br /> 1 -- � -. <br /> T .J —c�..-._C_ <br /> 1 , tl I' • 1 4 p <br /> r! i---I <br />