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PLOT PLAN <br /> foram, To Scale) <br /> SCALE ----*' TO <br /> 1 Names of streets or roads nearest to or houndinn flit! property <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and tocalionsof all existing and proposed stfuctures.inctudingcovoredareassuchaspatroa, <br /> driveways and walks. <br /> 4 Location of house sewer outlet, public sewer, sewage disposal sy+fem or proposed sewage asr.-"' F�a'orn, <br /> proposed expansion of sewage disposal system, or any other pur.,lble tiource of contamination <br /> 5. Location of other wells within radius of 150 feet on the property .;r arllolnmg property <br /> G. Location of sewage disposal system on adjoining property or withm a radius of ISO*�t <br /> I <br /> X. <br /> I I I I <br /> - <br /> ! <br /> I <br /> l <br /> 1 <br /> I <br /> I I I I I I I I <br /> I i <br /> 1 <br /> I I I <br />