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( aw 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 bxisting 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 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 /> 1 ' <br /> i <br /> I g I <br /> AA— <br /> to I I I <br /> I 1 <br /> I <br /> f ate' I <br /> I I I i <br /> I I r.•� I I � � I <br /> E <br /> I r <br /> i <br /> i <br /> _I <br /> 1. <br /> n <br /> I I <br /> © 4 i �I <br /> I <br /> J <br /> I <br /> s � j <br /> T <br /> a <br /> ,r <br /> I <br /> ' I <br /> I <br /> s- <br /> } <br />