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i <br /> PLOT PLAN <br /> (DRAW TO SCALE) --" <br /> SCALE i, .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 arih locations of all existing and proposed structures, 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,dther possible � <br /> source of contaminationt: <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 /> �1 <br /> _...........;. ------ A A <br /> , <br /> ....... -- ._. <br /> .i <br /> : <br /> , <br /> , <br /> , <br /> , <br /> : , <br /> , <br /> , <br /> ..............................._._...._...._ ........i. --. <br /> , <br /> , <br /> , <br /> , <br /> , <br /> i <br /> ip <br /> --------------- <br /> ----------------i <br /> , <br /> , <br /> .J. <br /> ........... . <br /> , <br /> : <br /> , <br /> , <br /> a ; �G . ..- --- <br /> V <br /> : <br /> , <br /> ..................... <br /> , <br /> I <br /> a <br /> - _. .. <br /> , <br /> , <br /> -- <br /> .... _ .. .- -' --' --- .-- .._ ... <br /> , <br /> • <br /> rj , <br /> -------------- <br /> ,�, <br /> , <br /> ------ <br /> i <br /> a _ _ <br /> ^\' ; <br /> f -­-----------------------­ ... .................. ... ...................................... <br /> ..........................................__ .... --- -- --- .. . <br /> . ._. ... _.. ................. ... <br /> ; <br /> , <br /> I� <br /> , <br /> I� <br /> ' 4 a <br /> y <br /> 1 <br /> .................--------- _ C — - _.. <br /> , <br /> INr <br /> -7-1..............­ <br /> --------------------------------............... <br /> --------------- �........................ <br /> ........----------­ --------------- ...... ------ ----------- <br /> l9 2 <br /> tii SAN 4 t..=At <br /> c ar4 iL: . IN LOCAL HEALTH DISTRICT <br /> ICT <br /> - --- _ --� <br />