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i <br />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. Dimensioned outlines and locations of all existing and proposed structures, including <br />covered areas such as patios, driveways and walks. <br />4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br />disposal system, proposed expansion of sewage disposal system, or any other possible <br />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 100 feet. <br />