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•y'r �}• `z PLO4. <br /> T PLAN <br /> (Draw To Scale)' ' A <br /> .SCALE Y TO <br /> 1. Names of streets or roads nearest to or bounding the property.l <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 propert)�� r adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> c• <br /> I k <br /> [Ti <br /> I F <br /> _ s <br /> , <br />