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PLY r� 7�LAN A�T
<br /> O i T i+t11Y
<br /> (DRAW TO SCATHE)
<br /> r_ SCALE II TO Y
<br /> 1. Names--of 'str" ets`'br roads, nearest to or- bounding the property.
<br /> ` 2: Outline of t)he' property, giving 'dimensions and,North- direction.,
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<br /> 3. Dimes tined outline's and locations of all existing and proposed structures, including
<br /> Povered}a'reastsuch as patios, •.driveways and walks.
<br /> r4:" �.ocation'lof hoose sewer' outlet, .public sewer, sewage disposal system or, proposed sewage
<br /> '>..dispoeil system,-,proposed expansion. of sewage �-disposal'systeim, or' any' other possib�'8'
<br /> source of "contamination.
<br /> 5.—Location of other wells within radiu-e- of. 75 ,feet on the property or adjoining,;peoperty.
<br /> 6. -Location-of._sewag.e-disposal system on adjoining property or within a• radius of 100 feet.
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