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f <br /> (Draw To Scale) <br /> SCALE " TO <br /> 1. Names ofystreets oriroads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned-outlinesE nd locationsof all existing and proposed structures,including covered areas such as patios, <br /> drivewaysiA d 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 /> 6. Location of sewage disposal system,on adjoining property or within a radius of`150 feet. <br /> I <br /> all <br /> E <br /> 9 1 <br /> I <br /> i <br /> i <br /> I <br /> a i <br /> a <br /> a � <br /> I <br />