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° PLOT PLAN <br /> (Draw To Scale) -;z <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 /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. <br /> 4ti Location of house•seWer outlet, public sewer, sewage disposal system or proposedsewagedisposal system, <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells withiri radius of 75 feet on the property or adjoining property.- <br /> 6. Location of sewage disposal system on adjogining roperty or within a radius of 150 feet. <br /> t <br /> SdjI <br /> V <br /> H. <br /> K <br /> +'3 <br /> n3 <br /> 1 <br /> 4 <br /> T <br /> i <br />