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i <br />PLOT-PLAN <br />Draw To Scale) <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 />3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios,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 150 feet on the property or adjoining property.6. Location of sewage disposal system-on' adjoining property or within a radius of 150 feet. <br />i <br />I • <br />I <br />I <br />t <br />f <br />f <br />i I <br />i <br />I i <br />I <br />d 1Ii <br />t <br />I <br />I I <br />t <br />i <br />f` <br />1 <br />r <br />1