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f <br /> JDRAW TO SCALE) <br /> { SCALEt <br /> �� <br /> 1. TO- <br /> Names of streets or roads .nearest to ording the pxoperty;-: " <br /> 2• Outline of the property, gi.'irig d3mensioiis'and North; direction. <br /> 3• Dimensianed�outlines and.--locations, 4.1.1 3s_ting,.and;proposed• struc'tures, ..including <br /> covered areas•such..as;:pati.os„-driveways-and:,walks;. <br /> ,,. . <br /> 4Location of house, <br /> ;sewer..outle�.,j. public sewer,rsewage,d"isposal 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 o£ sewage disposal system on adjoining P et <br /> g property or within a radius of ,1Q0 fe"et.•- <br /> . <br /> • ; <br /> , <br /> i - ............... <br /> :, <br /> • . <br /> i <br /> • <br /> Y <br /> E <br /> V.. <br /> : <br /> : <br /> : <br /> i <br /> _ . <br /> Gti , <br /> ......... ; <br /> ... <br /> i <br /> : <br /> .............................. <br /> •i• <br /> 7 �r <br /> , <br /> ; <br /> ; <br /> , <br /> ._.. ..... ' <br /> - <br /> - <br /> P <br /> ; _.. _.._ <br /> I <br /> t <br /> i <br /> ; <br /> ; <br /> ; <br /> ,. t <br /> : <br /> 10 <br /> t <br /> i <br /> : <br /> M ,.....__.._............... a 1.. <br /> i <br /> ; <br /> e • i <br /> • <br /> _....._._............. I • _ ' <br /> ............... <br /> ,...___.r............. ^1 <br /> } �. <br /> ............. <br /> . . <br /> : <br /> ' �� f } <br /> t <br /> , <br /> i <br /> ....................f <br /> : <br />