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II, <br /> l ; PLOT PLAN <br /> !!i (Draw To Scale) <br /> • Iii <br /> 1. Names o�,stree s or roads nearest to or bo i�ro ert <br /> 9 r p Y <br /> 2. Outline the prrs, ly — di V§i ns �n� North direction. <br /> 3. Dimensi l�hed outlines and to atiofacisfing and proposed structures,including covered areas such as patios, <br /> driveway ;and w��1�f�,� � �V,n <br /> 4. Location of hou e s er 6 tlet,( ldblic�se 4, Sewage disposal system or proposed sewage disposal system, <br /> propose�flexpansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Locatio4f other wells within radius of 150 feet on the property or adjoining property. <br /> 6. Location f sewage disposal system on adjoining property or within a radius of 150 feet. <br /> ir <br /> I <br /> I <br /> I <br /> j I <br /> ji, C I I I <br /> i ! I <br /> ii I I <br /> .II <br /> I <br /> i <br /> i <br /> I "r <br /> f' <br /> Ii <br /> i.! <br /> i <br /> i <br />