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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 /> 3 proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> j' 5. Location of other wells within radius of 75 feet on the property or adjoining property. <br />` & Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> I- <br /> A[1V <br /> 1 <br /> I <br /> 'c <br /> 1 <br /> t <br /> d <br /> L� <br />