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PLOT SLAM <br /> (0 aaw To ScaAe) <br /> SCALE ___ TO,---- <br /> I <br /> O 1 Names of streets or roads nearest to c)r t)oo !ding the property <br /> 2. Outline "J the property, giving dimensions and North direction- <br /> I Dimensioned outlines and locations of alk existing and proposed structures, including covered areas such as patios <br /> driveways and wars, <br /> Locati�-n of house sewe outlet. pub"Ic sevber, sewage disposal system or proposed sew-gge disposal syston': <br /> proposed expansion a` sewage disposal system, or any ott-er possiNe source of contamination <br /> 5. Location of other welis within radius of 150 feet on the property or adjoining property. <br /> 5. Location of sewage disposal system or, adjoining prtsiaert°y or r ithir a CrIOIus of 150 feet. <br /> I , <br /> o <br /> a >a <br /> ! I I I <br /> I� <br /> � <br /> S E I <br /> k <br /> �X <br /> ra $-1 1 <br /> I I i i I l <br /> I <br /> I <br /> _ 3 <br /> I <br /> i <br /> e <br /> _ r I <br /> f I <br /> r : <br /> { <br />