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Q1.CT P'" ^.V <br /> SCALE.�li" 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 /> 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. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> SEXY O ,,K \_ RO <br /> :EIS S PTC AN <br /> 1 � <br /> f VI ED <br /> COL TIN E T <br /> ATI Al <br /> i� Zoe <br /> �. <br /> N• Vin' <br /> LU <br /> Z. <br /> Ir - <br /> —8 <br />