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w <br /> = PLOT PLAN <br /> (Draw To Scale) V <br /> _ SCALE " TO -5- <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. _ t <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 sourceiof contamination. <br /> 5. Location of other wells viritliin.radius of <br /> -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 /> 5 <br /> IN <br /> 7 <br /> 1 <br /> V � _ <br /> v <br /> 1 <br /> 15, <br /> IS <br /> N. <br /> kv <br /> ti <br /> T�i I <br /> vl <br /> OVL AJ <br /> rr <br /> 117- <br /> 11D <br /> ♦A d J1 <br /> I I <br />