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n <br /> (DRAW 'TO SCAL'2) <br /> SCALE TO <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 existing and proposed structures, including <br /> „covered areas such as patios, driveways and walks. e <br /> 4. "Location- of house, sewer outlet., public sewer, sewage disposal system or proposed'sewage <br /> disposalsystem„ 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-adjoining properCy. <br /> b.. Location .of- Is disposal system 'on ad joining'property•-or withih-a radius of 150 feet. <br /> Ad A" <br /> 'I <br /> t (Ai <br /> , <br /> ' d <br /> 4 ' 40V <br /> I <br /> .�•+•+�... .w•ti•e ,fit. . . Ye•.•st• .�... k <br /> i <br /> ^'CS <br /> �. ... ... <br /> '� <br />