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floll.0-T-PE AN JIq'qA <br /> A0O'YSAH ';T` 1' <br /> SCALE T <br /> 1 Names of streets or roads nearest to or b ounding the property <br /> 2. Outline of the property, giving dimensions and North direction <br /> I Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. VI taq 6,lot V�-'dv'a ftwH k=J nu 3i ­_! <br /> proposed-sewage�g"e disposa system, <br /> 4.. Location of house sewer'outlet,-public;sdWcir, s6wage -disoo-'s--al-systLirhlb-IF�r' <br /> proposed expansion of sewage disposal system, or any,other possible'sou rce Pf contaminatio' n' , <br /> 'p�.operty.or adfo'i�, <br /> 5. Location of other wells within radid'sVoM.50 feet on the. ing Orbperiy,, <br /> 6. Location of sewage disposal system-on adjoining prdp�e"rlty; ��or w,i, A <br /> 717, <br /> - <br /> `7—y 7f 7—, 1i <br /> -4 <br /> I L 1 F 401 L <br /> r '13 <br /> -A . <br /> % <br /> vj.l <br /> Ax <br /> fj J <br />