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V L U i It'L.04V4 <br /> (Draw To Scale) <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 direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. <br /> A. 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 150 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 156 feet_ <br /> f I <br /> I <br /> IY <br /> l I <br /> i <br /> I i I I I <br /> r� 1 <br /> U <br /> r` <br /> I bar <br /> i I <br /> f <br />• Q <br /> 1i <br /> ro k 05 j: <br /> 1 <br /> a <br /> I <br />