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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. Dirnensioned.outlines and locations of all existing and proposed structures,.including covered areas'such as patios, <br /> driveways and walks. �., =::a;, .'� <br /> 4. Location of I oiise`sewer outlet, public sewer, sewage disposal'system;or-proposed sewage disposal system, <br /> proposed expansion of_sewage disposal system, or any otherpossible source of contaminations <br /> r T 5. Location of.other wells within radius of '-5`feet o�n,the property or adjoinMg'property _4 <br /> r6. Location of sewage,disposal-system bn adjoining property-or.�within�a_radius,of-150:feetN t ,x <br /> 1v <br /> A <br /> ' k <br /> t <br /> r' <br /> i r7wyr y <br /> DO 21-11 <br /> L <br /> id <br /> 3 <br />