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PT T PAN ^� � <br /> (DRAW TO SCALE) <br /> SCALE " TO ' <br /> 1. Names of streets or roads nearest to or bounding the property, <br /> 2 Outline of theY� giving ra ert ivin dimensions and North direction. <br /> P P <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including <br /> covered areas -such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> . disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. <br /> 5. Location of other wells within radius '6f 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 100 feet. <br /> : <br /> : <br /> : <br /> : <br /> : <br /> ._._._._.�..—__.i.............. . ... .... - -. _ ... ._. ._. ... --- _.... _.............. <br /> .. <br /> 1 <br /> : <br /> t<v <br /> t:• <br /> • - .-. ... ... <br /> : <br /> Tral 6,7 <br /> : <br /> _. _ .... - <br /> : <br /> : <br /> led <br /> .1 • <br /> : <br /> : <br /> : <br /> is <br /> 7 <br /> r <br /> : <br /> : <br /> : <br /> : <br /> .._.._�._.__..{..._._ { ................... ... ...- - - - ... ... ... ... -- .... . . ... .. <br /> ............... .. .. ................ ... --- " -- --' ----- -- <br /> : <br /> : <br /> : <br /> : <br /> i <br /> „ r <br /> N; <br /> ........ ...._ .... -' <br /> : <br /> : <br /> : <br /> : <br /> : <br /> �—F <br /> : <br /> : <br />