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f "? PLOT PLAN r <br /> (Draw To Scale <br /> ) 1 1 <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 /> : t <br /> - 3 Dimensioned outlines and locations of all exist ng and proposed ,tructures,Including covered areas such as patios, I <br /> ', ' =' '-driveways and walks F <br /> ;4 +Location of house sewer outlet, public sewer, sewage c'Isposal system or proposed sewage disposal system, <br /> w proposed exparsion of sewage disposal sys+em, or any other pomblP source of contaminati[,n _ I <br /> 5 Location of other wells A ithin radius of 150 feet on the propert, or adjoining property - <br />' S Location of sewage disposal system on adjoining property or within a radius of 150 feet <br /> ITTj <br /> 4—- 1 <br /> I <br /> I I I _i -- I - ' <br /> 1tII--- <br /> r- <br /> `i <br /> I I I i I <br /> _77 <br /> IL_ - - - <br /> 4_1 �--�- <br /> 1 <br /> I <br /> I <br /> et--'--�--�.�,7�'.�st�.�ls�i rte■ - - - <br />