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PLOT PLAN <br /> (Draw To Scale) <br /> SCALE r " 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, <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 /> Y 5. Location of other Wells within radius of 150 feet on-the property or adjoining property: <br /> $. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> _J - <br /> TV <br /> +i +- <br /> 1 ` <br /> fT <br /> 3 f <br /> � E <br /> U <br /> U � <br />