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t <br /> PLOT PLAN <br /> (Draw To Sale) <br /> SCALE AlO f.O ' <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,expansionof sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of 75 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 /> ---' 411 <br /> -57 <br /> � I <br /> LE40 Sam <br /> I � <br /> 1 <br /> 1 <br /> W � <br />