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M <br /> PILOT t LAN <br /> (9'e,v To Scute) <br /> SCALL _ .. TO _ <br /> I. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> I Dimensioned outlines and locations of all existing anti proposed structures,including covered areas such as patios, <br /> driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage di�t,,osai system or proposed sewaG_r disposal <br /> propos3d expansion of sewage rt,sposal ,;stem, or any other posalble source of contami s <br /> S. Locat-on of other wells within radius of 150 feet on the proper;v or adjoining property. yt dem, <br /> naticn. <br /> 6. Location of s-wage ;posal system nn ad Gini" <br /> ---------- <br /> — 1 q property or wi";��n a radius of 150 feet. <br /> I I <br /> � T I <br /> � I I <br /> � I <br /> I I <br /> I I <br /> I I � <br /> - <br /> I <br /> -r <br /> _ I <br /> I � , <br /> i <br /> 1y�+ <br /> t <br />