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Plot PLAN <br /> (Draw To Scale) <br /> c <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 a <br /> driveways and walks. <br /> A., Location of house sewer outlet, public sewer, sewage disposal system or'proposed sewage disposal system,s patios, <br /> proposed expansion of sewage disposal system, or any other possible.source of contamination. p <br /> 5. Location of other'wells within radius:of.VO,feet on the p°r. petty or adjoining Ystem, <br /> 6. Location of sewage disposal syst�er`ii'on ad oinin �4 e �= f g property. <br /> joining 4 <br /> petty or within a,ratlius f i50'eet` <br /> -Sk <br /> —4— <br /> TF <br /> t <br /> A <br /> a <br />' v <br /> 3 <br />