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(Draw To Scale) <br /> SCALE !,.TO •p r <br /> 1. 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 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,orproposed 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 adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a rad_ ius,of 150'feet., <br /> - J a'1 +'. _ •�,� �t � _ I <br /> k <br /> I F` <br /> I I xtl -rr <br /> ,zl <br /> Zi 7 <br /> �.- i �,• she Li <br /> • i <br /> e� <br /> 4 <br /> f ` <br /> +i t v� i � a i',t Y• <br /> J tea . <br /> IV qr <br /> a <br /> • 1 1 <br /> Vi im.' li i Jh <br />