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{ <br /> PLOT PLAN <br /> (Draw To Scale) <br /> ' SCALE 'i 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. <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 /> T— - <br /> , <br /> c <br /> F-4- <br /> T _11 <br /> - <br /> -4- <br /> AV) — I <br /> 2 <br /> i <br /> 00 - <br /> 1 of <br /> J_,_# <br /> I -� l r C r_ c <br />