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VLUi 'FLAN <br /> (Draw To Scale) <br /> s P SCALE __" TG---- <br /> I t. Names of ;trects or roads nearest to of bounding the property. <br /> 2. Outline of the e ro ert <br /> � p p y, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed strt:nires,includirig covered areas such as patios, <br /> c driveways and walks. <br /> 4, Location of house sewer outlet, public sewer, sewage dispo:al'system or proposed sewage disposal system, <br /> proposod expansion of sewage disposal system, or any .Ther possible source of contamination. <br /> 5. Locairon of other wells within radius of 150 feet cn the property cr adjoining property. <br /> 6. Loca'�ion of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> i <br /> i <br /> i I _ <br /> +_ I <br /> .01 <br /> IT <br /> I <br /> } <br /> i <br /> I <br /> t h <br /> �p <br />