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i <br /> Yr: , <br /> 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.outiinesand locationsof all existing and proposed structures,including covered areassuch as patios, <br /> driveways and walks., 'a' - - I_ <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 /> t 5. Location of other wells within radius of 150 feet on the property or adjoining property. <br /> 8. Location of shwa a disposal system on adjoining property or within a radius of 150-feet. <br /> I 2t <br /> IW "Oft <br /> - 1 <br /> _ <br /> i I � <br /> i I <br /> i <br /> i. <br /> i <br /> � 1 <br /> t A 0. <br /> , <br /> l <br /> T- <br />