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PLO <br /> T, i <br /> ' (DRAW TO SCALE) , ,: _ Y <br /> ! SCALE <br /> 1.y Names of streets or roads nearest to or bounding the property, <br /> Z. Outline of the property, giving dimensions and North direction ys <br /> 3.~ Dimensioned outlines and locations of all existing and proposed structures, `iricluding <br /> -covered areas such as patios, driveways and walks. <br /> G. Location of house sewer outlet, public sewer,' ,sewage..disposal systemx�or' p'roposed sewage' <br /> disPo.sal systein, proposed expansion of seraage disposal system, or any other possible <br /> source of contamination. <br /> 'S. <br /> " ,Location 'of other wells within radius of 75 feet on, the•property.o' d oiriin property. <br /> g P P y• <br /> 6.. Locatioi" f sewage disposal. system on adjoining property or 'within a radius of 150 feet. ,, <br /> y' � __ •ate..,? �1 �' "�`�ek4• �� � :41 xA .Y ..t � t .. - <br /> f <br /> i <br /> I J <br /> �a 'I.YIh. ]TkY1T .., /•!'TY •Y•tir 4 <br /> i - <br /> d i <br /> ] � I <br /> 1 � <br /> hen-rrr ra'q`i� rexT'. . <br /> s <br />