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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, <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 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 />, <br />^ASI <br />L <br />'�: <br />-• <br />I - <br />-�T:- <br />_ <br />1- <br />.1 <br />ir <br />i{ <br />r�L <br />.fir <br />i,r <br />= <br />T, 11-� <br />.4--Z <br />ia <br />