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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 />I Dimensioned outlines and locations of all existing and proposed structures, including covered areas such as patios, <br />driveways and walks. <br />A. 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 />TE <br />i <br />_a <br />! <br />I <br />i <br />