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Y' PLOT PLAN <br />(Draw To Scale) <br />31 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 />I 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, 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_'Locatio6-of other wells within radius of 75 feet on'the property or adjoining property.' <br />6. Location of sewage disposal system on adjoining property or within a radi'us of 150 feet. r <br />G _ <br />E <br />ii <br />�_............... <br />_ I <br />I <br />1 <br />I <br />I <br />f <br />I <br />