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r PLOT PLAN <br /> (Draw To Scale) <br /> _ f i <br /> SCALE I „ TO Z= r it <br /> I, Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> I 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 pr posed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possible source"of contamination. <br /> g <br /> 5. Location of other wells within radius of 150 feet on the property or adjoinin `property: _. <br /> 6. Location of sewage-disposal system on adjoining property or'within a radius of 150 feet. .> <br /> , <br /> i <br /> - Y <br /> ------- <br /> I i <br /> �H j € _ _ <br /> : <br /> k ,, ; <br /> • ii <br />