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TIT 1�IT' T' <br /> 7 <br /> 'DRjVW 10 nESYtT ,4 <br /> SCALE 'F'O <br /> 1. Names of streets or road,,a nearest r-o or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3a Dimensioned outlines and locations of all existing and proposed structures, including <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. <br /> 5. Location of other wells within radius 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 /> 7= <br /> ............ . ..... . .. .... ......... ........ <br /> ... . .............. ......... <br /> .............. ........ <br /> . ............. . ... . . .. ...... ... <br /> ........ . . . ........ . <br /> . .... ..... .. ..... . ... ....... .. .. <br /> .............. <br /> . .... ....... .. . <br /> .................. <br /> Llk. <br /> ....... .. ...... . .................... <br /> A N <br /> ................... .. ..... ...... ..... . ....... <br /> .. ....... ....... . . ........ ........... ............ <br /> ... . ...........- <br /> . .. . ...... ........ .. ..... . .. ... ......... <br /> ........ .. ..... ......................... .. <br /> . . .. . . <br /> ............... ... .... <br /> . ......... <br /> 7...... ............... <br /> ....... ..... ........... <br /> L L <br />