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i <br /> BLOT PLAN <br /> (Draw TAcale) <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. 3 <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 /> � 3 <br /> e <br /> .✓ f Xit 5 <br /> t <br /> I <br /> �i <br /> ` c <br /> i <br /> .. o <br /> i <br /> I. <br /> I <br /> 1 <br /> A` <br />