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r <br /> A •'KAN <br /> (DRAW TOS SCALE') <br /> SCALE " TO <br /> l• . <br /> 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 existingand k,3 "`° <br /> covered areas such as patios, driveways and walks ; Proposed structures, including <br /> G• Location of house sewer outlet, public. sewer, sewage disposal 'system or proposed s6wage'- <br /> d4sposal system, proposed expansion of sewage disposal system, or- any other possible <br /> source of contamination. <br /> 5. Location of other wells within radius of 75 feet on the property or ad oinin ro arty, <br /> 6• Location of sewage disposal system on adjoining property or within" a''radius -of150feet. <br /> r yy <br /> 'j �"""'�""^'•E+.•.�+il �-"+Y1Tn +www.ww. _ <br /> ......... �� '�.,. .wtir.R i+n,rrte,,,• - � - <br /> 1 <br /> ^.�" .... <br /> f 1 <br /> I 3 <br /> 3 S � <br /> �. ... _.. . . i <br /> , .... ...... <br /> --L..._ <br />