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` PLOT PLAN <br /> (DRAW TO` SCALE) <br /> SCALE" TOe <br /> -' • Names of streets or roads nearest to or bounding the <br /> property. <br /> -'• <br /> Outline of the ro y, <br /> 3• Oi��ensioned 'outlinesrandlocat.ionsng mofsaxlsexistingand tandirrotosed <br /> covi�r� d areas sue" as Patios, driveways and walks, proposed structures, including <br /> "• Locat ;on of '.souse sewer outl <br /> `0caLSa_ s stern et, public sewer, sewage disposal system or proposed sewage <br /> Y proposed expansion of sewage disposal system, or any other possible <br /> sc�urc� cif contarnination. <br /> a• Location of othar wells within*radius of 75 feet. on the property or adjoiningproperty. <br /> b• LocaCion of sewage disposal system an adjoining property or P P y• <br /> P y within a radius of 150 feet <br /> . .......... <br /> ' <br /> . ... <br /> ......... <br /> :. ....s.......... ' <br /> ....... . <br /> 1. <br />