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PLOT PLAN <br /> (DRAW TO SCALE) <br /> 3 SCALE TO <br /> 1. Names of streets or roads nearest' to or, boudning the property. y° <br /> 2. Outline of the property giving dimensions and North direction. : <br /> . �. <br /> 3. Dimensioned,outlines and locations of all existing and proposed structures, including <br /> E , covered areas such as patios, driveways and walks. <br /> 4.. Location of house -sewer outlet, public sewer, sewage disposal system,or;proposed4sewage <br /> disposal system, proposed expansion of sewage disposal .system,, or any other ossible <br /> source of contamination. p <br /> C: 5. <br /> Location of..other wells within radius of•75. feet on the property or -adjoining property. <br /> 6. lnt�nd6d. use of the well. <br /> 7, "ovation of sewage disposal system on adjoihingl,property or within a radius of 100 feet. <br /> C1 I <br /> Tj <br /> _ <br /> 4 <br /> 0 <br /> I�j <br /> • .. :y{ 'I l� ,a y., - r\/�[SS/s•�" °. - IW. � Y <br /> MAfj 14 1912 <br /> STAN JQr'+s LOCAL. <br /> HEALTH DISTRICT <br />