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r 4i <br /> To scale) <br /> (Draw <br /> r <br /> SCALE To__— , <br /> ro ert ��' � <br /> is or roads nearest to or bounding the direction. 'so <br /> s Pp S. <br /> of scree d North a <br /> 1. Names ert giving dimensions an <br /> 2. Outline of the property, 9 and proposed structures,inclu +ng c <br /> 3. Dimensioned outlines and locations of a1!existing sewage disposal system,, <br /> driveways and walks. stem or proposed <br /> 4 Location of house sewer outlet, public sewer, sewage disposal sY <br /> d expansion of sewage disposal system, or any other Py or adjoini g property. <br /> f n urination. <br /> pre source <br /> opose p the <br /> ro ert or within a radius of 150 feet. <br /> 5. Location of other wells within radius of 150 feet ort <br /> 6. Loc tion of sewage disposal system on adjoining p p Y <br /> I <br /> � I i <br /> I I <br /> 4 <br /> I <br /> j <br /> � i <br /> i <br /> .� <br /> IK <br /> x - - - <br />