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PLOT FLAN <br />(DRAW TO SCALE) <br />SCALE Of T0' ' <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.outiines and locations of all existing and proposed structures, including <br />covered areas.such as patios, driveways and walks. <br />4a Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br />disposal system, proposed expansion of sewage disposal' systeem, or -Jany 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,Pf.sewage disposal system on adjoining property or.within:a.radius of 100 feet. <br />WRI <br />--------------- <br />- ______________________A______..__.____._.__._..__._.._.._._. ,.._.................... ... ... ,. __. - -- - -- .._ _ -- .__ .-. ....... <br />` s <br />• r <br />.. ... .. ... ... .... ... . ... ... ... ... ... ... ... <br />• { 5-----•-i-----".j._.-_._j......_t....... j .......:....... i...... _... . - ......_. .. ... ... ... <br />: <br />A , . .. ... ... ... .._ ... ... <br />L... .. .................. --- --- ... ... ... ... ... ... ... ... <br />d <br />J <br />. ..............._. . ... ... ... ... ................._._ <br />T <br />: <br />___...................� ._.._ .._.._........ ... ' ... .__ .._ ... .. .._ ------- .. <br />- --------- <br />i_ --- ° -------0 -------- °.......+ - -- --- --- ----- --- - <br />1- <br />.............. <br />... . ....... ...... . ...................... ...... <br />�1 <br />s <br />5............................._.,-------._... .-'....:........._..---------..._......... <br />i <br />a <br />