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t' <br /> ' 'A. �r, rt <br /> lPll!US PL,s.N <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. I A <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered 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`Wi.thin radius'of 150 feet on the prope,rty or adjoining property. <br /> O.Location of sewage disposal system on•adjoi,ning property or{within a radius o'f 1,50 ¢set. s . ::}A <br /> IN <br /> i E �•: I � � i 1 <br /> I <br /> I <br /> E i <br /> I T, <br /> I <br /> r ' <br /> or <br /> i <br /> j I <br /> IIIr <br /> 1 <br /> r - <br /> tw <br /> i <br />