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A <br /> (Draw To'Scale) . a <br /> SCALE TO <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2.`Outline of the property,.giving dimerisions and North direction. v <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'a'djoining property. • <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> 14, Y ti. <br /> Q <br /> C t �0 <br /> (/- [� <br /> Zen <br />