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PLOT PLAN <br /> (Draw To Scale) g <br /> SCALE. " TO ' <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property givirig dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered ateas 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 /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. LocatioWof other wells within radius of 75 feet on the property or adjoining property-.h — <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> 16—AU . <br /> � 1 <br /> 1 <br /> F <br /> l <br /> f <br /> i <br />} { <br /> i <br /> I <br /> F <br /> Ei. <br /> F. <br /> by _ <br />