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PLO'r PLAN <br />(Draw To S<�7ale) <br />SCALE —f.._ 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. <br />4. Location of house sewer outlet, public sewer, sewage deposal system or proposed sewage disposal system, <br />proposed expansion of sewage disposal systarn, or any other possible source of contamination. <br />5. Location of other wells within radius of 150 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 />fit <br />I <br />MEM <br />■■■■ <br />■■■MM <br />©■■�■■�� <br />■■■ <br />■■■! <br />■■N►■■ <br />■■■_ <br />■■ <br />■ <br />■■ <br />■■■■ <br />