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PLIDT 'ftlN T <br /> (DRAW TO SCALE) <br /> SCALE " TO t <br /> Names of streets or roads nearest to or bounding the property. <br /> Outline of the property, giving dimensions and North direction. <br /> 3 .- Dimensioned outlines and J-ocations of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walks. <br />' H . Location of House sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> ' t!isposal systeul, proposed expansion of sewage disposal system, or any other possible <br /> source of _cotitamination. <br /> S. Location of other wells withinradiu,s 'of ,75 feet- on the property; or_ .adjoining property. <br /> 6. I:ocat'ion "`of sewage da.sposal 'systetn .on adjolning'property or within a radius of 150 feet. <br /> 4 -t <br /> 3 <br /> E <br /> ,...- <br /> .. ... .. <br /> ' rd , <br /> W <br /> : <br /> 1. 9 .;. <br /> h <br /> , <br /> .... ;. ; ..�. .;. ... ..... r... _. ... ... ... .., R ... ... ... - ... ... _ ...- .... <br /> 1 , <br /> , <br /> CU-tb <br /> i <br /> �. ... <br /> i <br /> X. <br /> 3 <br /> r ' <br /> , <br /> , <br /> • <br /> i <br /> _ ... .. .... .. _ .. <br /> , <br /> , <br /> I <br /> 1 ..,. <br /> .......... .. .., ... <br /> , <br />