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* PLOT (PLAN <br /> (Draw To Scale) t. r <br /> SCALE <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'arid locations of all existing andproposed structures,including covered aieas such as patios, <br /> driveways and walks. <br /> 4, Location of house sewer outlet, public sewer, sewage disposal system or pioposed sewage disposal system, I <br /> proposed expansion of sewage disposal system, or any other possible source of cantam'ination. <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 /> zr , <br /> s <br /> a� <br /> 1 <br /> � I <br /> ti <br /> I <br /> 1 <br /> t <br /> f"r i <br /> 4z , <br /> s <br /> i <br /> • <br /> Ii <br /> , <br /> I: <br /> til <br />