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der <br /> (DRAW TO SCALE) <br /> SCALE 2 2 e <br /> 1. Names of streets or roads nearest to or bounding the property., <br /> 2, Outlinp,Aof the property, giving dimensions and North direction. <br /> f3.' Dimans oned outlined 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 con"taminationi --F ,I. <br /> 5. Location of other wells within radius of 75\feet_on. the, property 6t'ad joining property. <br /> 1 6. Location of sewage disposal system on adjoining property, or within a radius,.of 100 feet. <br /> .;. ..i..,,.. <br /> ......:......t...s...{. .i i ..., ;..... �..... . .... ... ... _ ...;? <br /> i.. : <br /> .... iii .....l......`.......5,......5.,.... _.. ... ... : ... ... ............. ... .............. ... ._. ..1......:.t , <br /> .... t .'_ .�. .._. <br /> ... ....{....._. .. ... ... ....... •�.: AK, .... ._..i7: ................... ... ? ....i-.._...«......i.......:............. ... ... <br /> . ....}..... ... .. ... ...••r•... ... ... ._. ...... s S r <br /> .. ...•.1.......i ... ...Y .......s i.......i._.....i.......j...............s .._..+......h:...... i J <br /> .. f <br /> ... .....i.. .i.. ..a...... ............... .i.....................j....... <br /> �.... ..�......_a. r=.._� .. ' .r�.. i <br /> j ............, ....�............ }....,.........j..._._.�.......i.......r...... : .. <br /> !.S .......!.....}.. .�.....�... ...................i.......i.....j.....j....y.....{..... ..j....-..rt. t4. ; • ... w ? ; <br /> ? r 't ; t ......................_.......... ..5.......i......•f•.... � <br />,' ,y... •....}.............i.......�...._.. <br /> ...............}......j. .....}...............1...................... ##] ._. ... •.. ... S ...•.J.. i........, .. v. <br /> ......�.... r .. .............. i...............`.... .. .... .. ..�...... <br /> �5.� •r S �� I y Y•. ## ..... ' ..........{.......4......�........}...... <br /> ...#.. .i:. i ....�..... c......r i ° r .. i tk.��a' ? r i �} _ ' .. <br /> F w , F }.......i.......i.......s.. . ..;.......s.......,... .t <br /> r .. .. .l_... « ...7.... .....}... s ...i �:.... i .....�......:i.......¢ ... ; <br /> •�..e.a,?«..w�,. ,-;.�4;ni::o:.i:�tt,a. rkiri.:�.e,�.•�� �.o ��.,,r ..•s,x•K• .,..w:�. .i.. ! <br /> ;..... t...............�.....y..... <br /> ...............i....... <br /> �....... <br /> y <br /> II �:-•►•- .L:�S.. .;..... .....i..... ! <br /> #{ .........................i.......i.... .. <br /> .. s <br /> ................................. ... i, ... <br /> F; a.......s.......i..,...........i.......i.......�.......j......s.......{,. <br /> ...............�.......i.._....j..... .... l.......j. <br /> §r s.......r... .i......................' <br /> ,......_t..... i .................... <br /> < 1Jl t <br /> i.......:............... .`:. ......... <br /> It <br /> . ._F..... ._ ...}.. ..�.............! ... g ._........ ... ... ... .....Y.. �9r. i. - '+.i.... i.... :. a..:..•• <br /> s ?' r s.......i.. ............! i... } .i... .a.. <br /> �.......}.. ... t ._.. t ... ... ... .. J I f ^ 1 3 i 4 f' L <br />