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PLOT ?LAN — <br /> (DRAW TO SCALE) <br /> SCALE I' TO ' <br /> Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> --1. 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 sewage disposal system, or any other possible <br /> source of contamination. <br /> S. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> �. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> f <br /> — t <br /> ti <br /> .. . ... <br /> ii <br /> L <br /> I� <br /> IL <br /> l <br /> L a <br /> 9 <br /> s - _ <br /> L � .. . <br /> y....... . ..... ..... <br /> ... <br /> > � s <br /> REPORTING OFFICER NAME DATE FILED COMMENT$ <br /> IDENTIFICATION NO. ATTACHED <br /> K N Subbotnikova,011NO 702W2 <br /> a <br /> Page 2 <br /> 4 <br />