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4 <br /> I . <br /> 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 /> 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 /> 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 /> - -iT <br /> - - -- - - I _ <br /> Ii I <br /> i I T <br /> s x <br /> `; t I j <br /> I <br /> is f i <br /> n <br /> 0 €� I <br /> I 6 <br /> ( r <br /> I � <br /> I <br />