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PLOT PLAN <br /> (Draw To Scale) <br /> SCALE _---_-" TO--- <br /> I. <br /> O __1. Nar €es of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3 Dimensioned outlinesand locations of ail existing and proposed structdres, including covered areassuoh as patios, <br /> driveways and walks. <br /> Location of house sewer r�odet, ;wbhc sewek sewage dis osai systarr� or proposed sewage disposal system, <br /> proposed expansion of sewage disposes! system, or any oOer pos-sibie source of contamination. <br /> 5. Location of other wells within radius of 75 feet on the property or adioining property. <br /> G. Location of sewage disposal system on adjoinmig property or within a radius of 150 feet. <br /> ....... .......... .,... .. <br /> a_ <br /> .... <br /> .............. .... .. ...... __... <br /> ... ...... .. <br />