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i <br /> IOL:OT'OL.AN <br /> (Draw To Scale N 't7Av.ia iLa, ,t � 4 c:�' i <br /> SCALE TO X <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. �i^/1r�ira,. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including vered areas such as patios, <br /> driveways and walks. <br /> 4.. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of 150 feet on the property or adjoining property. <br /> i <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> I I <br /> iZ <br /> I <br /> � j I <br /> � I r <br /> Ii <br /> f I <br /> � I <br /> I <br /> r" <br /> ` I I <br /> I <br /> I <br /> I <br /> � I <br /> i <br /> I <br /> 1 <br /> l` <br />