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' PLOT PLAN <br /> (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 /> 3. Dimensioned outlinesand locationsof all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. <br /> utlet, public <br /> 4. Location of house sewer osewer, 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 - <br /> I <br /> I l <br /> � j 1 <br /> i <br /> I i <br /> i <br /> i <br /> I i i <br /> i <br /> I i <br /> If i <br /> I <br /> i r 4e, <br /> s � t. <br /> TI <br />