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r, 17 1 TKI, <br /> vmn To SCALE) <br /> SCALE To <br /> J. Names of streets or road; ntnresz zo or bounding the property. <br /> 2. Outline of the properoy, giving dimensions and North direction. <br /> 3, Dimensioned outlines and locations Of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walks. <br /> 4 . Location of house sewer outlets 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. <br /> 5. Location of other wells within Vadius Of 75 feet on the property or adjoining property. <br /> 6, Location of sewage disposal system on adjoining property or within a radius of 100 feet. <br /> 04. <br /> ............ .. <br /> AAJ <br /> .............. -- --- -- . ...... <br /> ........... <br /> T A <br /> ........... ...... <br /> 41. .............. <br /> A <br />