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PL.OT'MAN 4ter <br /> (Draw To.Scale) <br /> SCALE " TO ' <br /> 1. 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. *,. - ` __, , 1. � '°`• <br /> 4. Location of house sewer outlet, public sewer, sewage disposal systemor ,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;-on.the property or adjoining.property. <br /> 6. Location of sewage disposal system on adjoining property or within a,radius of 150 feet. <br /> t <br /> -74 ya <br /> 3 <br /> \ r <br /> 's. <br /> N <br /> Y <br /> # x P <br /> M� <br /> .� <br /> ' - <br /> '+ t r r <br />