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' PLt3?',PLAN <br /> (Draw To Scale) <br /> SCALE : / .r TC3 r <br /> 1. Names of streets or reads nearest to or bounding the property. <br /> 2. Outline of the Property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all <br /> existtng`and proposed structures,including covered areas suchas patios. <br /> driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage disposal system. <br /> proposed 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 /> ti. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> : <br /> Tb <br /> r <br /> • <br /> • <br /> i <br /> r i <br /> . a <br /> , <br /> ti r -bVIA ' t _ <br /> rF <br /> .o r t <br /> til � <br /> L <br /> , R <br /> r _ <br /> MW�f <br /> Q ' <br /> i <br /> J <br /> + T rQ t r <br /> Mhl'2 <br /> LZ <br /> y <br /> ., <br /> r <br />