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4 <br /> PLOT PIAN <br /> (DRAW TO SCALE) <br /> SCALE _�" TO LJQ' <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 <br /> covered areas such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br />' disposal system, proposed expansion of sewage disposal system, or any other possible <br /> 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 100 feet. <br /> N <br /> i_ <br /> , <br /> , <br /> , <br /> , <br /> , <br /> ....... ... .. . ..... ... ... ... ... .-------------- ... ------ '-- ----- --- - - - '-' - - --- -- ---. _..._ <br /> y <br /> : <br /> r <br /> : <br /> , <br /> , <br /> , <br /> 1 <br /> , <br /> I . <br /> c• : € cnr <br /> : <br /> a <br /> ... . . . ......... .... . .. ..... .... . ...... <br /> - <br /> : <br /> ............ <br /> lip <br /> , <br /> -- <br /> ..------.--------.-------........`-'___........:__._.................. • ... ------- --- ----- ... ...., ... ........ .. .. .. <br /> i <br /> , <br /> , <br /> r , <br /> , <br />