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t <br /> KigT, PLAN <br /> (DRAW TO SCALE) <br /> SCALE {' TO <br /> XV. ' 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 <br /> covered areas such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> . disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of contamination. <br /> 5. Location of other wells within radihs of 75 feet"oii thep-r'operty or ,adjoining property. <br /> 4 b. Location of 5sewage disposal system on adjoining property- or- within a radius of 100 feet. <br /> 1 _ <br /> --- "-' -- "" <br /> • <br /> ' <br /> j <br /> y R <br /> • <br /> 5 <br /> i <br /> r- y <br /> V <br /> V <br /> nl A <br /> i <br /> • <br /> .. ... ..; .�.. _..... ....E.. .., . <br /> i <br /> i <br /> } <br /> .L <br /> • <br /> d <br /> i <br /> i <br /> .._._.--- •-•.............:. __.... <br /> ............... .... -.. ....... _._ ... _.. ... .... ... ... - --.__ ---- -.. {------- ... _ _ .._ ._. ... <br /> I <br /> 4,+ <br /> !j <br /> .. -_ ... ... ................................. ... ... ... ... ....... <br /> : <br /> : <br />