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(uraw i 0 ycaia) <br /> SCALE--"TO .' <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North d rection. <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 disposal 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 /> _�9r,, <br /> . ya <br /> A� <br /> �— <br /> . I <br /> i ! <br /> i H '00 <br /> -7 I _ <br /> Mo --- — I --r— }--�� <br />