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s PLOT FLAP] � <br /> (DRAW 'O SCALE) �. <br /> .•� SCALE {� TO <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 a1l. existing and proposed structure's, including <br /> covered areas such as patios, driveways and walks. <br /> 4. 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 /> 5. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining Property or within a radius of 100 feet. <br /> ... <br /> .._ <br />,. ' <br /> : <br /> ' ,....._.. <br /> ........... ......,........._..__.�.. , <br /> _- <br /> : <br /> , <br /> , <br /> ... <br /> , <br /> 4 <br /> , <br /> , <br /> , <br /> , <br /> , <br /> , <br /> i <br /> al <br /> _ .... ._. <br /> , <br /> , <br /> , <br /> , <br /> , <br /> , <br /> , <br /> yam• _ a_______________._....._ <br /> , <br /> : <br /> , <br /> , <br /> , <br /> „ ♦ r: <br /> , <br /> , <br /> 4 <br /> If e, <br /> • i : <br /> _.. <br /> - . <br /> - . <br /> ---------------- <br /> ; <br /> , <br /> _ _ <br /> , <br /> KI <br /> , <br /> , <br /> , <br /> , <br /> , <br /> , <br /> , <br /> ;7. <br /> - ... ___ <br /> , <br /> .......... ................ <br /> DISTRIC <br /> HEAL <br /> i <br /> , <br /> , •t� �� �� �1. �' °� �[��Y 1 X97 <br /> . ". .... ... ... .. <br />