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I' <br /> U1, 0 <br /> BLOT PLAN <br /> (Draw To Scale) <br /> i SCALE TO <br /> '! ! <br /> Ld 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 150 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 /> j <br /> Iry <br /> J � <br /> � I � I• <br /> ! <br /> 1 <br /> I I <br /> i <br /> II <br /> .i <br /> q <br /> '! <br /> d <br /> �I <br /> it <br /> d <br /> II <br /> II <br /> it <br />