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rLOT 'L--1 j <br /> (OkAd rt 0 SC 1LL) I <br /> r j SCALY " TO <br /> r <br /> 1. Hames of streets or reads nearest to or bounding the aroperty <br /> 2. G'uCl ne of the pranc{ty, givtng dimensions and `lorth direction. <br /> 3. Dimensiane3 outlines and locutions of all e isting and proposed structures, ircluding <br /> covered areas such as patios, driveways arc walc� <br /> 4. Location of housa sewer outlet, public sewer, sewaga aisposal system or pro+iosed sewage <br /> disposal system, propcsed -�xpansion of sewage disposal system, or any other possible <br /> source of contaminatio^. <br /> \ S. Location of other wells within raaius o€ 75 teat on the property or adjoining property. <br /> $. Location of sewage disposal system on adjoining property of within a radius of 100 feet. � <br /> -- <br /> , <br /> L , - ♦ V 1 1 , + , T I <br /> i <br /> 1 r' <br /> r 1 Si s 1 I i <br /> r <br /> -i <br /> ' <br /> I i ' <br /> »y <br /> J+ <br /> M «♦ ti <br /> T <br /> w" <br />