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4 • <br /> i <br /> PLOT PLAN <br /> (Draw To Scale) <br /> SCALE " Tp ' <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, public sewer, sewage disposal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possibie source of'contamination.. <br /> 5. Location of other wells within radius of 75 feet on the property or adjoining property, <br /> 6' Locationof sewage disposal system on adjoining property or within a radius of 150 feet. <br /> • <br /> I <br /> _I_4 _ - r - <br /> �- -� - <br /> 1 !{- <br /> t � I <br /> i <br /> � I � I f •� <br /> l� <br /> r`3 !N <br /> 1 <br /> , <br /> i <br /> i ' <br />