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+ �11 <br /> . T <br /> PLOT <br /> PLAN #w f <br /> _(Draw-,To Scale) <br /> SCALE, S 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 al I 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 of150 feet on the property or,adjoining property,.., <br /> 6. Location of sewage disposal systeirn-on, n'a <br /> ,adjoining property or withi `radi0§,of` D feet <br /> -}I- -4- <br /> i <br /> I - � <br /> r _ <br /> IT <br /> --------- <br /> _ _-- <br /> - _ I _J <br /> f <br /> I <br /> 1 " <br /> r p <br /> F <br /> 1 <br /> 1 <br />