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y PLOT FLAN iI <br /> r <br /> (DRAW TO SCALE) <br /> y <br /> SCALE _is TO <br /> Names of streets or roads nearest to or bounding the propertyr <br /> , 2. Outline of the property, giving dimensions and North direction. ` <br /> 3• en6ioned outlines and locations of all existing and proposed structures, includin <br /> covered areas such as patios, driveways and walks. B <br /> 4.' Location of house sewer outlet I� ' <br /> . ' disposal s stun , public sewer, sewage disposal �;system or proposed sewage <br /> w Y , proposed expansion of sewage disposal system,- or any other possible' <br /> source of contamination. <br /> S. Location of other wells within radius of 75 feet on the property, or adjoining property. <br /> �6. 'Loca'tion of sewage disposal system on adjoiningproperty or within a radius of 150 feet. <br /> 44 . <br /> 0 } <br /> {1 <br /> 40 <br /> -�,- <br /> ti <br /> ° r <br /> F <br />