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- <br /> (DRAW TO <br /> 1 Names af. streets or:. ro.ac5. _nearest' to or bounding 'the ,Property <br /> 2. Outline of the property, giving d•imerisions and North,cllre 'tion• <br /> 3•' Dimensioned outlines and-Jocafinns. of .ali,existing and, proposed structures . <br /> ,a. ; ;covered areas .such,as :pa.tios.,, driveways and,:wal'k's:t .. including <br /> �+. ; :Location;of, house .sewed?outlet.; 'public sewer. <br /> ,;.sewage, disposal system '.or proposed sewage <br /> disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contami'nati;an. <br /> 5• .ovation of other wells 4ithin radius_o`f�75-feet on the property or adjoining property. <br /> 6. Location .of sewage„disposal system on adjoining p y• <br /> 3 E ProPexty or within la radius of ''100 feet.: , <br /> ........}....-..{.....--V I <br /> ; <br /> : <br /> , <br /> •y <br /> •; <br /> -------- <br /> .0 <br /> , <br /> , <br /> �r <br /> j <br /> , <br /> 1 _ <br /> , <br /> i. <br /> "r• <br /> , <br /> ; <br /> , <br /> d <br /> is <br /> r. <br /> , <br /> J ” <br /> - <br /> ' f <br /> .......:..... <br /> r <br /> z`. <br /> ; <br /> •- ... ... <br /> ..._.....r..f.....: _ - <br /> a <br /> ... ., - <br /> y <br /> •. *. .. _ <br /> - .. .'. .. <br /> : <br /> S -i-....±. ..- <br /> T.. <br /> , <br /> •1 <br /> n <br /> ; ... <br /> N { <br /> , <br /> : <br /> : <br /> , <br /> V j.. <br /> , <br /> ; <br /> : <br /> : <br /> : <br /> r Y. <br /> ........... <br /> ... ............... .... .. ..... ........... <br /> ..- ......... <br /> ; . <br /> _. <br /> f .. _- .. .�.1 <br /> ; <br /> v <br /> 'Y.. <br /> r , <br /> : <br /> , <br /> r , <br /> • <br /> ; <br /> r <br /> ., . ,.. <br /> ------- <br /> • I i� <br />