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PLOx F 3 <br /> LAN' <br /> (DRAW TO` SCALE)� - <br /> SCALE TO <br /> l•- Names of streets or roads nearest to or bounding the 'pro ert ;� <br /> 2• Outline of the property, p Y <br /> 3. Di'men's oned outlines and locations mofsall sexistingandtandirectionproposed structure <br /> covered areas such as patios, driveways and walks. s, including <br /> k. Location sy house sewer outlet public sewer, sewage dispo'sa ':system 'or proposed sewage <br /> disposal s ste{� g p , <br /> Y , proposed expansion of sews e ,dis o-sal syste or arty` other possible <br /> source of Contamination. <br /> 5• Location of other wells within radius of 75­feet. on -,the prop rty or- adjoin.ing.pr•operty.- <br /> 6• Locatibri df` sewage disposal system on ad '_oinin ro ert <br /> �. g p pH y, _'or _ n a ' ad3us of 150 feet <br /> . 7 <br /> 4" <br /> ' 4 <br /> 4. <br /> ............. <br /> h - <br /> --. . . <br /> jj <br /> ii <br /> y <br /> a <br /> ' f r <br />