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,PL.-OT PLAN.,�_i <br /> .. {Draw.To Scalle) <br /> _ <br /> 1. Names of streets or' roads nearest to-or bounding tltie property: <br /> 2. Outline of the property,-giving dimensions and North direction: <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,inc'l'uding c`ove'red areassuch 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 on the property or adjoining-property, <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet: d ' <br /> I <br /> t <br /> 1 , I <br /> I <br /> i <br /> I <br /> I <br /> . - J- nn f' .,=Y,."•;lr_?' +)+ 1'IR^. C+ ,-t yt_"., <br /> .- ;a Ce �r;y',: '•r.,i! n.�::�, _ F-.1,.v. ... .i C`i esti:, 4i:- iir,y., W'km _ <br /> i; <br /> A <br /> H _ 17 <br /> o <br /> i <br /> 1 <br />