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§ r <br /> PLOT PMc k- <br /> (Draw T c I! <br /> -SCALE---:--",TO <br /> 1. Names of streets or roads nearest to or bounding the property. -k <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,includirig covered areas such as patios, <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 /> 5. Location of other wells within radius of 150 feet on they ro ert: or,ad'oinin ro ert <br /> P R Y 1 9P P Y ' <br /> 6. Location of sewage disposal system on adjoining property or within a;radius of 150 feet. <br /> � 'l .Y •y I I I .t <br /> -71�� �-.__.�w...�� I 1 � s'S' �'4•i a- M F; —,yam `� - � , •i. � _ __ i <br /> _ <br /> IL <br /> -.4t: <br /> ___rT FF <br /> 17 <br /> l <br /> nr . <br /> 'I <br /> I <br />