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PLOY PLAN <br />«+- (Draw To Scale) <br />Y ` SCALE AS _„ TO S W6w-J <br />1. Names of streets or roads ruaarest to or bounding the property. <br />2. Outline o,L,p�wi g'dimensions and North direction. <br />2... <br />3. Dimensioned outlines and lotions of all existing and proposed structures, including covered areas such as patios, <br />drivQ,wau-&. <br />IV <br />14:e� M a <br />outlet, pub; c 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 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 />■'� <br />=No <br />NONE <br />■III <br />■■■�► <br />■■■MONSOON <br />■■/ �EN■N <br />■N■ <br />OON■■■■N■i�ll�r <br />3�.'�EON■■■■CEO■N� <br />NOON■■■■N■E'/�1NO�■ONO■N■IIE��I <br />■■■■■■ <br />WTD0■■■■�%SI'"It�,NENOENENN�iI■■■ <br />RIVEN <br />NoO■NiV■N■■ll�,`�■i■O■ <br />■■li■�lNO■■ <br />II <br />��1r■I <br />■ON <br />NONE <br />OMEN <br />NNNNN■■E'���INN■■■ <br />lik <br />, �a!R�i N■■■NNN <br />�1��ANN ENNONN■�■■N■I■■ <br />� ���� ,NMM IN <br />pli i� to■■ <br />IPA _�OENEN <br />1111110 <br />1111110�ONNNI■N <br />■■�NNNNI■N <br />E■■NEEFA <br />■EON <br />EO■■■IO■NNI■ <br />■ <br />No <br />MEN <br />NONE <br />■■IN■ <br />■■ENN!'N <br />■■N■NNi11� <br />■NNOE■NNIEN <br />■ <br />■ <br />0�NI■ <br />NEW <br />ONION <br />■ <br />so <br />NONNNNN� <br />■■NN■■/, <br />