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w 4 <br /> PLOT PIAN <br /> 11-4 {Draw To Scale) <br /> f ',SCALE , 7 TOy' <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.: a,- A � <br />"s r 4. Location,-of house,sewer'oiatlet, 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 /> 4 5>ttocatton o#'other wells within radius of 150 feet"on the'property•-or adjoining property.. <br /> 6. Locatio-of'se`wage disposal system-ion adjoining property or within a'radius of 150 feet: <br /> T�� <br /> � I i <br /> I[ z <br /> I — i <br /> T <br /> r II I <br /> I <br /> t <br /> f m <br /> 4 ' <br /> p�,�+' � . . s 'r"R \ {--•ate V <br /> # <br />