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PLOT PLAIN <br />(Draw To Scale) <br />SCALE ----- TO _- — -i <br />1. Namos of streets or roads dearest to or bounding the property. <br />2. Outkne of the property, giving dimensions and North direction. <br />3 Dime isioned oitlines and lrjcatk:)ns :af aii existing and proposed structures, including cover-ed'.spassuch 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. 1....ocat:on of other wells within raaius sof 150 feet on tnp property or adjoining property. <br />L,. Location of sewage disposal systerrl on adjoining properly or within a radius of 150 feet, <br />.... <br />.. . ..... ...... . .... <br />u Waif � cr �► <br />- <br />