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Name y <br /> PLOT PLAN <br /> (Draw To Scale) <br /> .,SCALE ) " TO Z D� <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. 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 /> r.. proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location 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 radius of 150 feet. <br /> I <br /> boo <br /> too <br /> I � � <br /> i <br /> ! <br /> i � I <br /> i <br /> i <br /> WM - 1 <br /> T <br /> r. a D <br /> ax <br /> R• <br /> i <br /> L E <br /> T G R <br />