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Y TO SCALE)
<br /> ;'X:11;"'..�€ I.�.��'��.., s ! SCALL .:._�.i!,TO
<br /> 1. Names of, streets or roads. neares,tl to-or •bounding,'the property., , •. - _ _ _ . W
<br /> 2. - Outline of the property,'-giving dimensions'-and Northdirection.
<br /> 3. Dimensioned outlines and _locations o call; existing and proposed. struc'tures•,,: nc'luding f
<br /> covered areae such as patios, veways an'd walks:
<br /> TL' a a f.' F drii f I Etta
<br /> 4..L Location of hose sewer}outlet,. public sewer, sewage disposal: syatexn ,or proposed, sewage. ,
<br /> disposal system, proposed exparision of sewagej disposal system, -ft IZanyto.ther)po.ssiblp-z
<br /> source of contamination. � •
<br /> 5.— Location of other wells- with•in°-radius of- 75 feet'on the prioperty'or-adjoining property.
<br /> 6. M Location of sawsgeE ,disposal system on adjoining property or withiri,a radius of 100 feet., ,
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