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4-r PLOT PLAN <br /> (Draw To Scale) �3 > <br /> SCALE " TO i <br /> i <br /> 19 <br /> 1. Names of streets or roads nearest to or bounding the property— a <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 /> 4F 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 of 75 feet on t4pr6perty'mor adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> .Via r <br /> 3 <br /> i r V -? <br /> , 3 <br /> a: ' <br /> it <br /> � r <br /> 4 +w.. j _ rig <br /> .!1 <br /> HP, <br /> 13' <br /> I� <br /> tj <br /> `Q <br /> FP' <br /> Y <br /> YaT� -. ...1111rWll7fr-4r P 3 <br /> I• <br /> �i <br />