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it}x x a <br /> � '� ISS I. }. �. . '}M •r.. <br /> PLOT PU'�H <br /> a {Draw To ScaleSCALE ) <br /> I <br /> 1. Names of streets or roads nearest to or bou•tding the property. <br /> q 2. Outline of the property, giving dimensions and North direction. ; <br /> 3. Dimensioned outlines and locdtionsof all existing and proposed structures;inc"ludrng-covered are-3 such as <br /> I driveways and walks.- �� � ., <br /> ft 0 ' �, 4. Location of House sewer outlet, pubic sewer, sewage dispobat system,or proposed sewage disposal System <br /> proposed expansion of sewage, riisposal system•or any other possible source of contamination. <br /> 5. Location of other wells within:radius of 150 feet on:the properly or adjoining property. <br /> Y• <br /> 6: Location of sewage disposal system on adjoining prnperty or within a radius o'r 150 !set. <br /> m 5 AlI 1K <br /> -(tier,H" � r ll•3' , <br /> t' pAI <br /> TryJ h r Shr^* <br /> '3+°4� d1+ <br /> 0F)SEP I S F, AT <br /> Vi to F ui '0>er ti In; yav <br /> c. 6, T. 3H R 7 M U <br /> I I tu F 16 ; k <br /> 14 <br /> -4-44 <br /> no <br />