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.p <br /> ' PLOY PLAN <br /> (Draw To Scale) <br /> j SCALE " TO <br /> 1. Names of s reets or roads nearest to or bounding the property. <br /> 2. Outline oft e property, giving dimensions and North direction. T <br /> I DimensionE d outlines and locations of all existing and proposed structures, including covered areas such as patios, <br /> driveways nd walks. <br /> ' 4. Location ol ho se sewer outlet, public sewer, sewage disposal system or proposed sewage disposal system, <br /> proposed a cpa sion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of oth r wells within radius of 150 feet on the property or adjoining property. <br /> i� 6. Location of se age disposal system on adjoining property or within a radius of 150 feet. <br /> ,. <br /> � I <br /> FT <br /> I I <br /> s I I I <br /> i <br /> I <br /> I <br /> I I <br /> / <br /> k - I <br /> r <br /> ! i i <br /> a {{ <br /> I <br /> i <br /> i <br /> i <br /> I <br /> i <br /> s <br /> I <br /> l; <br /> L2 <br /> �r <br /> l <br /> '� I <br />