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t. <br /> r PLOT PLAN <br /> (Draw To Scale) <br /> -- <br /> bUALt <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 patips, <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 <br /> i I <br /> 3 � <br /> I t 1 <br /> 'i <br /> I <br /> I <br /> I � I <br /> .EF <br /> I i <br /> I <br /> 10C ft <br /> House au e <br /> 74 <br /> o 25' 100 <br /> ell r 1 1/T Ad re <br /> TT 01 r <br /> co n <br />