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PL& OLAN' <br />SCALE, . e' TCS <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 seWerg sewage:disposai'system or proposed sewage disposal system, <br />proposed expansion of sewage disposal system, ty any ether{ possibie aourco of contamination. <br />5. Location of other wells within rddiva i6f=150 feet drt tie$p op f'ty or'A 161hing property <br />6. Location of sewage disposal systbth on adjoining property of within a radius of 150 feet. .a - <br />