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PLC)r PLAN <br /> (Draw To Scale) <br /> SCALE/" TO-Q' <br /> 1. Names of streets or roads nearest to or bounding the property. <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 /> 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 the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> i <br /> J t I <br /> 0 <br /> � G � <br /> a — <br /> i <br /> i <br /> 58 rf - <br /> ih 7 N <br /> 1;0,71 1 <br /> 0 8 <br /> O D <br /> ------------ <br /> i <br />