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i <br /> PC&T kAN <br /> (Draw To Scale)' 3 t <br /> -SCALE To rl <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> .:., <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 /> 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. <br /> ontamination.--'5. Location of other, wells�within radius.of 150 feet on the property or adjoining property: r-= <br /> 6. Location of sewage disposal system on adjoining property or within a radius of-1'50 feet ' ° ' <br /> a F <br /> � F <br /> .y <br /> - ,: �_A <br />