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PLOT'hAN <br /> (DRAW TO SCALL) ' <br /> SCALE ---- s 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 /> 3. Dimensioned outlines and locations of all existing and proposed_ structures, including <br /> covered areas succi as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. <br /> 5. Location of other wells within radius of 75 feet ontheproperty or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property. or withina radius of 100 feet. <br /> - - -- - - .kms <br /> ..................._............................... <br /> ................................... <br /> p` <br /> : <br /> : <br /> k ... ___ ____ ___ ___ ____ ___. ___ ._. . <br /> : <br /> : <br /> • <br /> i� j _____--------_------_ ....... ... ._.. ---------------....... _ ___ .__ ___ __. ................ ------ ...... <br /> : <br /> I1 .-.. ... .................... ... ... .... ... <br /> F ................................... ... ---. --- <br /> : <br /> : <br /> : <br /> : <br /> I <br /> : <br /> . ............................. -- --- . --- . -- <br /> : <br /> , <br /> : <br /> , <br /> I <br /> I <br /> re, •S , <br /> : <br /> 1 : <br /> : <br /> : <br /> : <br /> : <br /> �V <br /> : <br /> 1 <br /> VQI_ <br /> - <br /> ' i <br />