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'PLOT PLAN <br /> (DRAW TO SCALE) <br /> SCALE � TO I <br /> i <br /> ! 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-outl.ines and locations of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walks. .. ' <br /> 4 . Location of Clouse sewer outlet , public sewer, sewage disposal system or proposed sewage <br /> disposa' systeni, proposed expansion of sewage disposal system,_or any other possible <br /> 50Urce of contamination. <br /> 5. Location of other wells withinkiadius of 75: feet- on the, property�.oryadjoining property. <br />=6. Locan oi <br /> tion of sewage disposal system oadjning o <br /> property r within a radius of 150 feet. <br /> A <br /> r .... <br /> ... .i. ;..... ....... <br /> ... . <br /> .... .... <br /> i <br /> i <br /> -ee <br /> 1 <br /> I <br /> ,.. .{.. rj s ,O� <br /> !�, v <br />