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I <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. Dimension6d' 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 sewage disposal system, or any other possible <br /> source of contamination. <br /> 5. Location of other wells within radius -of 75, feet on the, property ox' "adjoining property. <br /> b. Location of sewage disposal. �system on- adjoining-•propetty or within 4 radius of 150 feet. <br /> : <br /> ... .._ .. .-. .. ... <br /> .. .... ... ... .... .... ......... .. - ..-. <br /> .. _... .-.. - ... ... ... .... .... ... ... <br /> : <br /> ......-..: .. -...... . ... ... ... ._. .................. <br /> . <br /> . .. vo <br /> .! s. . �J. <br /> F 16J .44 <br /> ........... <br /> t <br /> ..............2 1978 <br /> HSA T OiSTRlC <br /> ,- = _ <br /> ............. <br />