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f PLOT PLAN <br /> (Draw To Scale) _ <br /> SCALE „ TO , <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 /> I 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 sewer, .sewage disposal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of 150 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system-o6 adjoining property or within a radius of 150 feet: <br /> — _..._.-L <br /> E 4--- _ <br /> .'v <br /> 1 <br /> 3 <br /> -da>h - - - - J <br /> 'i <br /> � w z. <br />