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PLOT FLAN <br />(Draw To Scale) <br />SCALE TO <br />1. Names of streets or roads nearest to or bou iding 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, pubic 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 />i <br />L.r 1 <br />r <br />At <br />E <br />i <br />0 <br />" <br />f <br />i <br />1 <br />�L <br />�i <br />I <br />� <br />T <br />i <br />i <br />I <br />I <br />_ <br />(�!I <br />tA <br />- <br />r, <br />jt": <br />I <br />I <br />I <br />