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<br /> i.� ,(DRAW ITO' SCALE)
<br /> SLE TO
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<br /> "It;`,.T.�i Txi 3� E.�as..:.
<br /> � . Names of streets or roads nearest to or boundin the ro e>t;t E.
<br /> 2.�.,.Outline'of' the ro ert ., P P,. ._ Y• _ _
<br /> s.p p y, giving dimensions{"xand North_jdirecti6n3. .
<br /> Dimensioned outlines and locations of 'sil existling*andF,proposed ;structures, ,including 14a
<br /> cove red'"areas such as 'patios, driveways and walks: K "
<br /> r�k`. zLoc'ation>( f�� em e a ' . m . . ..
<br /> ouser4. outlet,.,public sewer sewage disposal s stem.,or ro seed sew pe :
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<br /> di'sposai cyst , proposed expansion of sewage disposal system, or any other possible
<br /> source of contamination.
<br /> 5..-.:Location .of'`othe'r`";sells within--radius of 75 feet on the property or adjoining property. s:{.
<br /> 6. '-Location of_sewage disposal system on adjoining property or within a radius of 100,f.eet.,,.q.
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