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`< A V <br /> .t ` <br /> (Draw To Scale).: ..iC4 <br /> SCALE3 =.,I'JO, <br /> A Names of�streets`orjroads nearest to or bounding the property. <br /> `s 2' O'dtiine cf the property, giving dimensions and North direction:' _ m <br /> 3.�Dimensioned outlines and Idcat'ions of all existing and proposed structures,including covered areas such as patios, <br /> °4 driveways and walks. <br /> 4. Location of"house 'sewer-outlet,'public sewer, `sewage disposal,system,or,propos �a <br /> ed 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 150 feet on the property or'adjoining property. <br />' 6. Location of sewage disposal's 'stem on adjoining property or within'a radius.of 150 feet. <br /> i <br /> 1 2- <br /> 4111 P'.' i'✓- � i <br /> 1 <br /> , <br /> '._.._i�_.�...�__.._ t. ..��` —. _.,_. �_-- •f Mir ,� y ; — _-- � _�: ..; .. � ____.._ ��..�.—^—-v .r _ _. <br /> i <br /> x 1 <br /> ii II ( I <br /> i <br /> I- � ,- . . "` � V t.�+ . j,•, �. ',� Ill. � ;�`�I�". ',t <br /> _ <br /> �- <br /> e: <br /> i <br /> f f _ <br /> n <br /> Y <br /> � f fi <br />