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Marion County Hea't~_h <br /> Daviror~ental Health Division <br /> <br /> Instruc~tions for Pr~aration of ~o~ <br /> The following items must be shown On the plot plan before an evaluation can b~ made of <br /> the property. If the in~ormation is not complete~ the application cannot be accepted. <br /> <br /> Indicate northerly direction. <br />2. Show lot lines and dimensions of property~ <br /> Proposed land division (if applicable). <br /> Property identification (fence lin~s, landmarks~ ad3acent ~roperty addresses). <br />5. Location of proposed buildings and any e~ist&ng buildings. <br /> Access from nearest p~blic road or street, <br /> LOcation of existing or proposed wells and water lines on property to be evaluated <br /> and on adjacent properties. Also location of rive=s, sfJeeom$~ or lakes wi%bin <br /> feet of the property. <br /> Direction of slope and approximate slope, <br /> 14~clude a vicinity map which will show how ~o get to th~ p~operty~ <br /> The propezty corners mu~% be flagged (fl~gging material may be obtained from o~r <br /> <br />......... office).. __ <br />Draw to approximate scale~ <br /> <br /> (date) <br /> <br />Rev. 5/76 <br /> <br />~ ~,, ( -- ~-~?- <br /> <br /> (signature of applicant) <br /> <br /> <br />