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A <br /> 4' PL(5T PLAN <br /> i <br /> (Draw To Scale) x <br />+ SCALE " TO ' <br /> I. 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 and locations of all existing and proposed structures,including covered areas such as 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 75 feet ori the property or adjoining property.. <br /> 6. Location of sewage disposal system on"adjoining property or within a radius of 150 feet. <br /> 1 <br /> i <br /> i <br /> Jr-1 <br /> I I I I i I <br /> I <br /> I <br /> ♦ \-- <br /> a <br /> fill <br /> + <br /> Y s I v <br /> I <br />