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� ] <br /> . . � <br /> OT PLAN <br /> (Draw To Scale } <br /> ~ - SCALE ' TO \ <br /> t Name of streets or mads nearest to orbounding the property. <br /> 3 Outline of the property, giving dimensions and North direction. <br /> I Dimensioned o26Sandlocations of all existing and proposed structures, G6rg covered areas such as patios, <br /> driveways and walks. <br /> + Location of house sewer outlet, public sewer, sewe disposal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal system, orany d§£ possible source G contamination. <br /> 6 Location of other wells within radius of 15�@k on the pioperty or adjoining property �, © <br /> E Location of sewage disp 4mon ,0ningpro riy \§qn+ mdus'a 150 feet, <br /> , w <br /> . | , <br /> ! <br /> . � � ' I ,— . � �� • � �.. <br /> \ ® ! <br /> Z ` � g + a • \ 9, � 7 ! � , � 2 <br /> \. © \, <br /> | I <br /> s | fit i <br /> . ! <br /> % <br /> � <br /> . � <br /> : <br /> • . : » » � . , . � m �. . | <br />