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4 <br /> PLOT PLAN " ' <br /> _r A' <br /> (Draw To Scale) w <br /> i <br /> SCALE " TO y <br /> �3 <br /> 1. Names of streets or roads nearest to or bounding the property. + <br /> 2. Outline of the property, giving dimensions and North direction. j <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 /> li t <br /> I� <br /> S <br /> Y <br /> t <br /> � f <br /> a <br /> +. <br /> LO <br /> SI .-. <br /> z <br /> 3 <br /> 1'. <br /> 3 <br /> C <br /> i <br /> i3 <br /> I! <br /> 4 <br /> I. <br /> x <br /> d <br />