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f. Names of-streets or roads nearest to c.,. property: <br /> 2"Outline"o'.'f the"property,o-givin dim-ensioi„ <br /> 9� th direction. •. <br /> 3. Dimensioned outlines and locations of all eX' d.proposed structures,including cove'rea areas such as patios, <br /> CR <br /> driveways and walks. , <br /> 4,. Location of house sewer outlet, public sew, pewage 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 adjbining';property. , <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 15Yfeet. -,-- <br /> ,. 19 <br /> 1,7r <br /> ?.. <br /> { E,. . <br /> s <br /> rk J I <br /> � <br /> } <br /> f 1 , <br /> N� <br /> i <br /> 1 <br /> i 4 <br /> a <br /> i <br /> I <br />