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4 <br /> PLOT PLAN <br /> (Draw To Scale) <br /> 5CA'LE —" 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 /> 41" 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 ivithin'a'i•adius'of'150 feet. r <br /> ` r <br /> I I <br /> I I I I <br /> I � <br /> I <br /> i I i f <br /> r <br /> i <br /> I <br /> M <br /> z <br /> 7a D Qo <br /> F <br /> S <br /> 5 <br />