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I <br /> Y i PLOT P'.AN O <br /> (Draw To Scale) <br /> SCALE " TO-- <br /> 7 <br /> O - <br /> t Names of streets or roads nearest to or bounding the property. <br /> II 2. Outline of the property, giving dimensions and North direction. <br /> 3 Dimensioned outlines and Eoeations of ail existing and proposed structures,including covered areas such as patios, <br /> ti driveways and walks. <br /> 4 Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage disposal system, <br /> I ! proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of 158 feet on the property or adjoining property. <br /> 6 Location of sewage disposal system on adjoining property or within a radiusof 15U feet. <br /> i I <br /> i <br /> t � E <br /> I <br /> I " <br /> F <br />