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5 <br /> { PLOT PLAN <br /> (Draw To Scale) <br /> y <br /> SCALE " TO <br /> 'S <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. <br /> 4. Location of house sewer outlet, pubiic 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 ori adjoining property or-within a radius of 150 feet. <br /> E ' <br /> j I <br /> I <br /> i <br /> i <br /> I <br /> II <br /> I ' <br /> c- E Ir I �-- <br /> r <br /> T 4� -1 <br /> E i _ <br /> • E <br /> I <br /> i <br /> i <br /> 1 <br /> E I i <br /> ' 1 <br /> I <br />