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'LOT P SAN <br />(DRAW TO SCALE) <br />SCALE " TO <br />1. 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 feet on the property or adjoining property. <br />6. Location of sewage disposal system on adjoining'property or within a,radius of 100 feet. <br />.-r <br />"..__•..:_."......... •------- I ................ ....... - ___ .._ -._ ......................... ... ------- .__ ... <br />............. .»».:......... ......1.....""«.""- .----'-....."•-'....;-"-----;. _..._.; .._ ._"" .__ __. ._. .._. _. ...... "_.", <br />: <br />:YJ <br />.......... •................ I ........ "......------- .. <br />_ <br />.♦ k.: r <br />r ---w ........ ............ <br />r r r <br />1� • , • r <br />r r r • • : i <br />:j <br />: <br />�� : ::a��:'�—.."'�-ry"'-.' f•7s - �, �:'� ' e=3. �x�S=- ' ��f nr-r ..a�r�•"�.'Hr- i-:�cT: 'rte. ecr•tr� �w-.r.':�'-'-s_"..... s.+�:�,:fx� ,'a�.� ; �:�'�. - __ .. <br />: • <br />r <br />r r , _ i <br />_. <br />: <br />! <br />: R- <br />�S <br />r , <br />r <br />: <br />y <br />.............. <br />.-. <br />1 <br />0:. <br />v' <br />r . <br />: <br />