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F <br /> AF <br /> (U"W I'm� FILE <br /> } Copy <br /> f .SCALE „TC <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.Including covered sroassuichas patios, <br /> driveways and walks. <br /> ' 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage dispoaai sYystelrn, <br /> k proposed expansion of sewage disposal system,or any other possible source of contamination. <br /> Kms'; 5. Location of other wells within radius of 160 test on the property or adjoining property. <br /> B. Location of sewage disposal system on adJQininq property or within a radius of 160 feet. <br /> z <br /> FT <br /> t� ..� <br /> 7 4— <br /> I <br /> to <br /> As <br /> --k- <br /> 13 p <br /> W t <br /> J — III <br /> ' <br /> 1W _ <br /> k <br /> ? l <br /> i <br /> --- <br />