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l _ PLOT PLAN <br /> (Draw To Scale) <br /> ' `t TV , - SCALE " TO-' 6 � () � �„� <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 covered areas 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. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on ad'oinipg property or within a radius of 150 feet. <br /> I <br /> pt <br /> 1 <br /> 4 <br /> i <br /> t <br /> W <br /> Y <br />+ 4 <br /> 1 j <br /> x <br /> r <br /> oV/712 <br /> 4 ` <br /> 117 <br /> 1 <br /> Y ' <br /> t f <br />