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PLOT Hlr-N <br /> MRAW TO SCALE) <br /> SICAT112 To <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2, Outline of the property, giving dimensions ;L,id North direction. <br /> 3. Dimensioned outlines and locations oi r,].l W,xjst,lng aiid proposed structures, including <br /> covered areas such as patios, drivaways -anci walks. <br /> 4. Location of house sewer outlet, public SeTTev, sew=age disposal system or proposed sewage <br /> disposal aystem, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. <br /> S. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposai systern on. adjoining property or within a radius of 100 feet. <br /> ...... . ... ....... <br /> ............. <br /> .............. <br /> .............. <br /> ............ ...... <br /> I........... ......1- <br /> . .......... <br /> 4'- <br /> ............ ......... <br /> ... ........ <br /> ... ....... ...... <br /> T.... ...... .. <br /> z. <br /> ............. <br /> ........... <br /> ... .......... . <br /> ... ........ <br /> ............... <br /> ..... ........ <br /> .... ....... <br /> ......... <br /> .................. <br /> ............... <br /> ............. <br /> .......... <br /> ............-...... T........... <br /> ................ ....... ...... <br /> . . ............ <br />