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PLOT PLAN <br />(Draw To Scale) <br />SCALE 1' 'PTO <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 />r a 5,._ Location of other wells within radius of 1.50 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 />—� sd <br />ilps <br />Iz <br />t] <br />y,y <br />Yy> <br />