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<br /> (DRAW TO SCALE)
<br /> SCALE ���� TO �r
<br /> 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 /> 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 other possible
<br /> source of contamination.
<br /> 5. Location of other wells within radius of 75 feat onsthe property or`adjoining property.
<br /> 6. Location of sewage disposal system on adjoining property or within a radius of 100 feet.
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