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i r (Draw To rlale) ' <br /> i <br /> SCALE "TOS <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 /> 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. Lo ation of other wells within radius of 150 feet on the property or-adjoining. property. t <br /> 6t sewage disposal system on adjoining prape;ty of vv.i.thin a radiu's'.of 150'fset. 1 <br /> I I I f <br /> i I <br /> f i I i <br /> . I E <br /> I L i <br /> Ir <br /> i <br /> • <br /> VU <br /> OW <br /> f <br /> {� <br /> } <br /> 4 1 <br /> I <br />