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i <br /> PLOT PLAN <br /> (Draw To Scale) <br /> SCALE " TO M <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> R 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. I <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'disposla I system bh adjoining property or'wit'hin a radius of,150 feet. <br /> i <br /> ON <br /> ' G 1 <br /> I <br /> I 1 � <br /> I � F <br /> S <br /> i <br /> pp 1 <br /> V AA <br /> I <br /> i <br /> i <br /> ti <br /> -i\. , r `i <br /> I <br /> C ' <br /> f I <br /> f <br />