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.- .. ..a ,w - 4'-- aw..-.Hl+rw.i.+aw,a ...+.1�w rw r...++11w..,..+rwwMn. .r �'r y. ...-•w ,. a r <br /> 4. PL1; Q� .$tale) <br /> 1. Name° of streets or-roads nearest to or bounding the property. <br /> 2. Qutli e of the property, giving edimensions and North direction. <br /> 3. Dime si ed oII li es and foc o�s of al!existi <br /> drivea Inda�lksAnd proposed structures,including cared areas such as patios, <br /> . � l� .. . <br /> 4. Locat on f hou a sewer ou#felt, public sewer; sewage disposal system or propos sewage disposal system, <br /> ,Propo e, , xpaIn ion of.sewage disposal systems°� or any other Possible sour <br /> 5. 'Loc n `othe` wells withint p source of co tamination. <br /> diu� ofir750,fe ton t#�e�property;or adj'ainingzprape .yy.q, ,• � I . <br /> 6. Locat n f sew a disposal s stem on adjoirii g property-or Within a.-radius of 150 eet. � ` <br /> ;. <br /> „ <br /> L . r <br /> 4�lj <br /> _.. — <br /> �--- <br /> I . <br /> I <br /> } - - I <br /> , <br /> 4--f <br /> 4. <br /> t _— — <br /> _ _ I f <br /> —1 <br /> -1— <br /> r <br /> — <br /> f I <br /> ,1 <br /> i <br /> 3 <br />