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PLOT PLAN <br />(Draw To Scale) <br />SCALE " 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%150 feet on the property or adjoining! property.. y <br />6. Location of sewage disposal system on adjoining property or within a radlus of 150 feet. ' <br />-----� <br />- <br />--- <br />4— <br />T- <br />I; <br />i <br />Tom- <br />4+ <br />-44 <br />_ r - <br />f <br />--� <br />I <br />- <br />t - <br />S I <br />l <br />- <br />f <br />I <br />� <br />� <br />r <br />F <br />Y <br />I <br />