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K <br /> PLOT PLAN # <br /> (DRAW TO SCALE) <br /> )-&v�SCALE " TO ' <br /> ' . Names of streets or roads nearest to or bounding the property. <br /> Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walks. <br /> y . <br /> Location of !souse sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> L!isposa'_ system, proposed expansion of sewage disposal system, or any other possible <br /> Source of contamination. <br /> 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 150 feet. <br /> r- <br /> I <br /> , <br /> ... . <br /> ; <br /> f <br /> r <br /> ... .. ... .. ... ... ... - <br /> ,. .. I ._.. .... t' t .,. .. ,1.. <br /> , <br /> , <br /> ; <br /> ....... .a r .. ... .. 2- �.-.' <br /> ... .. .- <br /> .4, <br /> ; <br /> .... ... <br /> 1 <br /> ... ... ... .. ... .i .. ... : .. .:. ... .;. ... .j. ....;. ... .; ; .. .. <br /> APR 2 019781 <br /> .. . .......... ... . <br /> IN �LOCAL: <br /> HEALtH DIST IST <br />