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"" (DRAW tO�-'.SCALE}
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<br /> 1. Names.-df"atr'eets'=or roads=�ttearestr o' o ''baut ding° t'h :=.F op rTCy,, ��_;
<br /> 2. Outline of the property, giving dimen's ,ons°`and North-,Urection.
<br /> 3. DimeMs anedi 'outlines -and Elocatior�4 ofiall. existing=-Andy proposed istrtip-tures;,= including.-
<br /> U:F)b6vefed aareas- such, -an&kwal.ks, _gra
<br /> 4. `� ,off t` dtt` of�i}�ouse �sew�:'r�outl et,=public sew€r', :setaage. d s'po'sal:i= ys'tem= d': proposed..•sewagq , . .;
<br /> disposal, system, proposed expansion of sewage disposal. system, or any other possible
<br /> source .of aontamiriati`oct. Ce-
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<br />,5 ,- ,Lo.cation-of ,,other wells within radius of 75 feet on the property or„ adjoining property.
<br /> 6. Local ion--of `9ewage-41spnsal-_system, on adjoining property .or. within,a;,.radius,, of 100Lfeet-. }
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