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'PLOT;PLAN <br /> (DRAW TO SCALE) s.,: - <br /> SCALE TO } <br /> I. Names of streets or roads nearest to or' bounding 'the 'property. <br /> 2. Outline of the property, giving dimensions and North direction. �,;M1.• <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including <br /> covered areas such as patios, driveways .and. walks: "., 1 <br /> 1 * ° <br /> 4. Location of house sewer outlet, public sewer, sewage disposal'system or proposed, sewage' - <br /> R disposal system, proposed expansion of sewage disposal system, or -any other possible <br /> source of contamination. <br /> `5. Location -of other wells within radius of 75 feet on the property .or., adjoining .property.- <br /> b. Location,°of sewage disposal system oni` adjjoining property or within a'.--radius of 150 feet. <br /> AotA <br /> vYt' <br /> At <br /> . <br /> ... ....... ....... ...... ... - <br /> .. <br /> i L <br /> Y - <br /> HA <br />