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PLOT FLAN <br /> (DRAW TO SCALE) <br /> t SCALE " TO ' <br /> i <br /> f 1. Names of stzeets 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 <br /> covered areas such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewagedisposal system, or any other possible <br /> source of contamination. <br /> S. Location of other wells within,radfus of 751tfeet on, the property 'or ,adjoining property, <br /> 6. Location of sewage disposal system .on adjoining property or 'within a radius•.pf 100 .feet, <br /> ,. <br /> _. <br /> , y. <br /> : <br /> + .. <br /> - - ... <br /> t <br /> : <br /> .1 <br /> : <br /> y <br /> i <br /> : <br /> I <br /> ' <br /> - ... _ <br /> ti- <br /> '> • <br /> --------------------- <br /> -r <br /> • <br /> , <br /> 1.... :,...., <br /> : <br /> : <br /> 1 ' <br /> r <br /> t- - -tet ... - :,w.w✓�7..:++' <br /> i <br /> s <br /> Fes.. <br /> e <br /> ._k r�+.' .ttit�:,, •.�,, 4 ;�;,?S.� ...�..�_.` �,.4.l.s.p. ,i�y y+ 1.11 .tl� E 1r \ ���� i � + ` •��r ti� '� � "r <br /> : <br /> r' <br /> .. <br /> L....... <br /> , <br /> �N : <br /> : <br /> : <br /> : <br /> : <br /> : <br /> : <br /> ; <br /> `- <br />