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{ PLOT (PLAN f <br /> E (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 on adjoining property or within a radius of 150 feet. <br /> I L I <br /> i <br /> f � { <br /> I I � <br /> i <br /> E I E I I <br /> i 1 3 <br /> I i <br /> i <br /> I i I <br /> i <br /> i E I <br /> � � r <br /> r { <br /> 1 <br /> I <br /> __ E I <br />