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PLOT AN <br /> (Draw To ale) <br /> SCALE " TO ' <br /> f 1. Names of streets or roads nearest to or bounding the property. 1 , <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 /> s, <br /> u <br /> 1 i <br /> .ao • � t' <br /> x <br /> .S <br /> i a <br /> 4 X. <br /> 1 <br /> I <br /> _4 <br /> 'i a <br />