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(Draw To Scale): <br /> SCALE TOx: <br /> E <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 outl,ih-es.a"locations of all existing and proposed;structures,including covered areas such as patios, ' <br /> driveways and walks. <br /> 4. Location of house'• ewer`outlet;=public sewer, sewage.disposal system or:•proposed-sewage disposal system,; <br /> proposed expansion�of_sewage disposal system, or any other possible source of contamination.—, . <br /> 5. Locati,od of..otherwwells-'within radius:of=75 feet on the property or adjoining.p�operty.4 <br /> 6. Location of sewag6-disposaKsystem on adjoining property or within a•radius of.150 feet.. � � r <br /> I <br /> . I <br /> S ..fel' <br /> A <br /> NL <br /> J : <br /> _ I <br /> i a <br /> L h 1 <br /> t <br /> y _ <br /> 'w <br />