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'I n :. I <br /> {. 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 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--,` tib '` ' <br /> 6. Location of sewage disposal system on adjoining property or within a radius.of,150 feet: 'r <br /> xJi <br /> - _I � I <br /> .. <br /> 1111 6 14 — <br /> i <br /> l _ <br /> �-7 I - - <br /> � I <br /> Mn rn <br /> 4 <br /> CCll'' <br /> a <br />