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PLO1 PLAN <br /> (Urzw 7o Scale) <br /> 1' Names of streets or roads nnaru�.l to or ho.:)ding the property.' <br /> 2. Oultsne of the properly• giving difnensiors and North direction. <br /> 3. Dimensioned outlines and locations of aiE existirng and proposed structures•including covered areas such as patios. <br /> driveways and walks. <br /> 4..LOCaliur! o1 house srwnr outlet, pub! C sr:wer, sewage t ispo,..ail system or proposed sewaor, t!icpr`.;i re!?r <br /> prupo5ed expansion of selvage rtisposal ;y,tem, or any olher possible source o! contamination. <br /> 5 Location of other wells within radius of iso feet on the prooerly or adjoining property, <br /> G LocamNID.4 I ss stem an adjoining property or '.v,ttim a-radios of 150 feet- <br /> . <br /> I �� <br /> i <br /> gA U4111 <br /> LI <br /> K 4E <br /> t <br /> I—_ � <br />