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PLOT FLAN <br /> f (DRAW TO SCALE) <br /> 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 /> Dimensioned out?ines and locations of all existing and proposed structures, including <br /> coverer! areas succi as patios, driveways and walks. <br /> y . .ocat :.un of '.louse sewer outlet , public sewer, sewage disposal system or proposed sewage <br />' c',isposa l systt tfl, proposed expansion of sewage disposal system, or any other possible <br /> siource of coil toFflination.. <br /> �.:: ocatacsn`-ot other wells with.inrxadius± ofp75 �feet. .on the property or ad'oining property. '. <br /> G.r <br /> Location of sewage disposal. system,on,aUj'oining property or within a radius of 150 feet. <br /> ............ ... .. .. ... { <br /> .. 1 <br /> r <br /> tto <br /> TZ <br /> V <br /> 4� <br /> i <br /> .,J <br /> r <br /> , <br /> AUG <br /> .2- ' 978 <br /> .. , . .'. <br /> $ <br /> HEALTH H <br /> .A <br /> j. <br /> r <br /> r, r <br /> ... . . . . ... , .. . . . . ... • ... -... ... SGT <br />