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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 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 />4 <br />i <br />I <br />FT <br />, <br />1 <br />j <br />a <br />_.. <br />1-4 <br />t <br />, <br />� <br />I <br />1 <br />I <br />r <br />I. <br />{ <br />I <br />• 4 j f <br />f'V <br />{ <br />1 <br />LLI_ <br />