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J <br /> PLOT <br /> ,. (Draw To Scale) <br /> .SCALE „ TO- <br /> rt <br /> O _ <br /> 1. Names of streets or roads nearest to or bounding the property. d <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 /> z .. -] k' i• of , :: ... " <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 /> r 5. Location of other wells within radius of 150 feet on the property or adjoining'property: .� Y <br /> i. , . <br /> 6. Location of sewage disposal systerrri)on adjoining property.or within.a radii of`i50'feet. f ` <br /> ii M1 3 r <br /> is y; _! qf{ •.n, :� <br /> 1 — — <br /> M <br />