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(Draw To Scale) <br /> SCALE ---- TO--- <br /> 1. Names of streets or roads dearest 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 areas such as patios, <br /> driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage aisposal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possible 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 150 feet. <br /> 4 t <br /> --�— l -- T -- — — o_ _1 <br /> C <br /> - - - - -- — — t - -- -- -- <br /> o j i t i u G' <br /> ooA <br /> r <br />