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r <br /> 141(0 T PLAN <br /> (draw To Scale) <br /> SCALE " TO <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> Q <br /> 2. Outline of the property, giving dimensions and North direction. i <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios. j <br /> driveways and walks. <br /> 4. Location of house sewer outlet,'pub-lic sewer, sewage disposal system or proposed sewage disposal system j <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 /> TrI <br /> I I I I I I E Iti I <br /> I I 1 <br /> I ! I <br /> � I I <br /> I <br /> i <br /> r i <br /> I <br /> I I f <br /> 0 <br /> l� P <br /> g ► <br /> 4, <br /> I <br /> i <br /> I <br /> f <br />