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/ <br />,:•-r -E". TIT '''''' <br />............... <br />'Ts <br /> p . <br />Ayec <br />4. <br />52- <br />• ! <br />I <br />t <br />• <br /> 4 <br />I ! 1 <br /> <br />1 i <br /> <br />I <br />-t. <br />; <br /> I • <br />1 t <br /> 4.1 <br />• It <br /> 4 1 i ' I 1. <br />i I 1 I ! i <br />t_ ; I 1— t i <br /> i .............. ......... 1 ...., i 1 ...... 1...._1...... .............. ....._ ................ ..._. <br />; 1 1 t I i <br /> i I' i 1 . 4 4 <br />3 <br />r <br /> <br />1 I I <br />3 <br />PLOT PLAN <br />(DRAW TO SCALE) <br />SCALE " TO <br />i. Names of streets or roads nearest to or bounding the property. <br />Outline of the property, giving dimensions and North direction. <br />Dimensioned s outlines and locations of all existing and proposed structures, including <br />covered areas such as patios, driveways and walks. <br />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 />Location of other wells within radius of 75 feet on the property Or adjoining property. <br />Location of sewage disposal system on adjoining property or within a radius of 10.0 feet.