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?LO7 FLAN <br /> (Draw To Scale) <br /> SCALE __L -TC ;rt_ <br /> 1. Names of slreels or roads nearest to or hou Wing the. proper!v. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as pattoa <br /> driveways and walks. <br /> 4. Location of house sewer outlet. pub::, sewer, sewage dispoua syr,en: or proposed 5ew1ge disposal system <br /> proposed expansion of sewage disposal system, or any other possible srurce of contaminmion. <br /> 5. Location of other wells within radius of 150 feet on the property c adfoinin I properly. <br /> 6. Location of sewage disposal system on adjoining prr.perty cr Nrthin a rade s c1 150 f_et. <br /> it <br /> T _ __ <br /> 11 <br /> I ♦ I� I � i I i• I l <br /> r 'i.'15'.; ✓ ' FF�lK. I I i I <br /> i I <br /> I <br /> I ' I <br /> C <br /> I r I <br /> it <br /> 6. <br /> I I <br /> I j <br /> l i l I <br /> I <br /> t <br /> t_ <br />