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r ...; PLOT PLAN <br /> (Draw To Scale) <br /> 'r SCALE " TO- <br /> 1 <br /> O 1. Names of streets or,roads nearest to or bounding the property. t <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!M> 4 <br /> 4. Location of ho'u'sels'ew& 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 /> _y <br /> I � <br /> � I <br /> � I <br /> Se <br /> E <br /> 4-H <br /> I <br /> � � I <br /> I <br /> ' d <br /> A<. <br /> _` Wt:M <br />