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�. .....rte w • <br /> PLOT PLAN <br /> (DRAW TO 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 all existing and proposed structures, including <br /> covered areas. such as patios, driveways and walks. <br /> 4e 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 /> r : i <br /> i <br /> i <br /> : <br /> i <br /> : <br /> b SLr <br /> w t..:_...}..-.. <br /> TWO"------ -----..-------_ '- -- <br /> r <br /> F <br /> i <br /> --F- <br /> ................................:...................... ............ ....... .-.....•• _ ------- _...- ... .. ... .. ... <br /> i <br /> ................:........{..................------;-------- .__ .. ... --- .._ .._ ... .. ... <br /> ? ......... ......j......-j..-- ;..._,._i---.--. ------`------ ---- •� ... .............................. -- <br /> 4 <br /> i <br /> i <br /> r <br /> • i i • - . ; <br /> _.....•.. ......•«...................•...•..:..................................•........• , ... ... ... ... ... .. ... .. ... <br /> ........-1...............:...............................A.......:-------'.----------------4-------;------- 7-..:5.._..-.;.......;........ ........}-------y...._..j.....__F....___t.......f_...._.}.--.--.------ -- .. <br /> i <br /> ---- <br /> ti.. <br /> n <br /> - , <br /> ..... .:....-s ............................. ........................ <br /> i <br /> HEALTH DISTRICT <br />