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PL(YT--P19N <br /> (DRAW TO SCALE) <br /> SCALE " TO <br /> .' . Names of streets or roads nearest to or bounding the property. a <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all f-Ziking and proposed structures, i'n•cluding `� <br /> covered areas such as patios, driveways and walks. <br /> w. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> 4 disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. r. <br /> 5. Locationof other wells within radius ;of 75 fee&�on the property `ar�tadjoining property. <br /> 6. • I:pca. pn�of,- sewage disposal system on \ad o'inin�g\property ori within^'a�adius of 150 feet. <br /> i � f <br /> 1 —: <br /> n ... .... A. .. .. <br /> j . ... 1 i... <br /> F .. ... <br /> Y <br /> . .... .. ... - ... - ... _.. .i-.... ._.., .t.. ... ... <br /> if <br /> .,... ,....., ' ., .-. — .... <br /> , <br /> r <br /> fes.. <br /> e <br /> �b <br /> �....... ,. <br /> .;. <br /> k ..... -. . _ ... .j. <br /> ..._ , .. - <br /> , <br /> I <br /> - ,..... .. �... .......�...... :...... .. - ... wpm' - .. ... - ..� - <br /> , <br /> f <br /> UV <br /> ;. .. . . 1YU <br /> , <br /> i fit, <br /> h . <br /> r <br /> �. <br /> 4 <br /> L ` _ <br /> i i. <br />