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PLOT PLAN <br /> (Draw To Scale) J f f c� r ' <br /> SCALE " TO � <br /> h <br /> j 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. I <br /> f 4� Location of house sewer, outlet, public sewer, sewage disposal system or proposed sewage disposal system, <br /> t proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells vuithin radius of 75 feet on the property or adjoining property. <br /> 6. Location of sewage dispi sal system on adjoining property or within a radius of 150 feet. <br /> f I I <br /> ° ex <br /> p - f = <br /> >t IC - <br /> - f <br /> k - — <br /> a <br /> 3 Ii <br /> I <br /> L <br /> u - <br /> J � _ <br />� I <br />