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_ PLOT PLAN <br /> (Draw To Scale) <br /> SCALE / „ TO-Z0 .` 4 <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 outlinesand 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 /> f <br /> 7— <br /> t�se <br /> 'i <br /> i <br /> a <br /> i <br /> i <br /> r <br /> � y , <br /> z <br /> i <br /> d i <br /> V <br /> �e3 Awl <br /> j <br />