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�PBOT PIAN <br />'I (DRI1W TO SCALE) <br /> SCALE 1t TO <br /> 1. Names of streets or roads nearest to or bounding the property.- <br /> 2. Outl.ine,of the property, giving dimensions and North direction. <br /> 3.' Dime'neioned outlines and locations of all existing and proposed structures p ifncludir g <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 /> I` disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination: <br /> S. Location of other wells within:_-radius'of.,lS feet._on ,the property osr°adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of IAD feet. <br /> }..,..i.....�,.. .}... �.... ............................... ... .................................................... ....................... ........................ <br />�4 .....R.....�.... ....fi............... ... ... ....� .. ... ... .......................................... ............ ....... .. <br />{ ...;.....j....._.... .. ... .. ........................ .... ... .i...... .......i...............j.......i.......'.......:.......:.......L..... ....4_..... <br /> ill .............�..... ... .. .... .. ... ... ... ... ._. ..............L.......:..._...:. ...... �_...:._............ ... .. ... <br /> ..j. s <br />{_ .. .i.... ti..... .. .. ..... ....... ...............I....... ... .i..... ......j....t� ...................j..:....a.......i......;....... ....... . ... .._......... <br /> 1 <br /> i <br />'.+=. ,. 1 .... :. ... ... j,. Cpl{V1'lrA E , 3 �'' � Ii�j1 <br /> ,. € <br /> ;...... <br /> `Y-id <br /> 4: ... t ...�:.... _.. al. .. F i......... ... ....j 9 F) .4.... j..... .6.( �C. ....�.......{.... ..r............... <br /> � ,,riv`J <br /> .....5..... . . Y .......y.......j.......j.......i.......e.......j... /j..4._ j.......j.......i...... ....i.......5........'s..;.. .. <br /> a. :;:. .........i.... ... 1�Y' <br /> .».._.....�.... ....:......s_.... .. ....... .... ... .� :B.. ... .. ... <br /> ...�..-...i.....;............._;. .. .... ... ... - ... _ ... ... ... ... ..................... ... ...............4.......5.... .. ... ....... <br /> .... ... <br /> ................. .. .. ... ... ... ............. ... .... ... ... .1....... <br /> ... .j.....l. ... .i.... .�.... .�. .j. .{. .. <br /> ......i.... ... ..._ ... __.-.}..... ..- .j......... ...... <br /> ... .......j.......5.......j.......j......j.......j......:......j..... . ..... .. <br /> -i <br /> .... ... ....t..... .. ... .. .... ....j.......i..:....j.......i.......i.......j.......j.......;....... ...... j.......j..............j.......i..............•..... 1 ' <br /> .... : ... ... ........ .. .. .i......S.....j. .j. ..: .j, . .... .{.... .j. ....{........ ................. ..... ...... .f.... F.......• 5..... ... .1... ., <br /> .. .y.......�......;......�......4........ ......y...... .......1.....�.... .�. ... <br /> *.._..i.....�.....:. ....:. ... ....................... ...._......................... .... <br /> ... ... ... .... ... ............................. .. ... ... ... A..i... i..,....i.. .t.. .. fI <br /> : : : : <br /> tANj. JC.iVLI U 11V LQQAL <br /> HEALTH DISTRICT <br />