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PLOT FLAN <br /> 1 (Draw To Scale) <br /> SCALE _ " TO-- <br /> 1. ames'of <br /> O__1. Names'of streets or roads nearest to or bou iding the property. <br /> 2. utline of the property, giving dimensions and North direction. <br /> 3. imensioned outlines and locations of all existing and proposed structures,including covered areas such as p9tios, <br /> driveways and walks. <br /> 4. Location'oLbouse 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 150 feet on the propertv or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> r <br /> i <br /> -FT- <br /> 000, <br /> ' O <br /> i 1p L"v <br /> i <br /> i <br /> I <br /> I - <br /> I <br /> I <br /> 1 <br />