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PLOT FLAN <br /> yy (Draw 7o Scole) <br /> SGALF TU — <br /> 1 Names of streets or road; rU;joV=t-to or hou iding the property, <br /> v"9 dimensions and North direction. <br /> 3.;Dimensione-doutlirnl-e-sa,,)d Ic4ations of all existing and proposed structures,including Covered areas such as pati,).. <br /> 4 Location o Dose sew ? outlet, pub,c sewer, sewage d spo.al system or proposed sewage d!spos. l system <br /> proposed expansion of sewage disposal system, or any other possible source of contamination <br /> 5. Locat!on of other wells within radius of i5o feet on the property or adjo!n;ng property. <br /> 6. Location of sewage disposal system on adjoining pr,-)perty or within a radius of 150 feet. <br /> 77 <br /> - -- - - — - - - i - <br /> i <br /> i <br /> I I <br /> 9 ^ <br /> t <br /> jI I <br /> I I <br /> I I I i l i i <br /> i <br /> 4i! <br /> t <br /> I I <br /> IV <br />