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i �IO�+.pLAf] <br /> (DRAW TO SCALE) a <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 existing and proposed structures, in6 siding. <br /> covered areas such as patios, driveways and walks. <br /> ». Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of.-contamination. , t <br /> 5. Location of other wells within radius of 75 Uet on the property' or '2djoining property. <br /> 6. Location of sewage disposal system on adjoining property or with in�a radius of 150 feet. <br /> �\ <br /> j ... <br /> : <br /> .. ... <br /> ............. .-- ... _.. .. --. .-. ..-. ... -.-. <br /> -- <br /> .. ... <br /> tv <br /> : <br /> L <br /> i <br /> 1 .. ... - .. -... .. -..- .... .- <br /> t ' <br /> , <br /> r <br /> : <br /> . _ <br /> , <br /> 7-7 I <br /> ...: ......:.. .. ......... ...... <br /> i• " . . ...5 . . ...,.-. .�...-. i�,-.- ..;.-� 1� -til-.-: - , .s... { .. . ... 11 `i i <br />