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.r (N I <br /> 4kAft f <br /> o 7 <br /> �L Dra ToTall�4,d�r �A ' scLE jO ' ABOUT 7� <br /> 1, Names of"st�ree- Z5r`rfds ne9rertgo or' bou d f e ropert jnn� A Sf�asl <br /> � <br /> vin dimensions and <br /> or direction. J <br /> 2, Outline of the property, giving CT . <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,inclu ing covered areas spatios, <br /> driveways and walks. <br /> 4. Location of house sewer outlet, .public sewer, sewage disposal sys em or proposed.sewage disp 41 ystem, <br /> .proposed expansion of sewag' isposal system, or any other possib a source of contamination. � <br /> 5. Location of other wells within s of 75 feet on�the property or ad oining property. <br /> 6. Location of sew I sy oadjoining property or within 'radius'of-150 feet.- <br /> - �- -- �� - <br /> �— <br /> E. <br /> - I <br /> `+ "` IU <br /> I I - <br /> _ <br /> — -- <br /> _ -- <br /> l F <br /> 44- US <br /> IT <br /> 0J 6T <br /> 61 f4 <br /> V I <br /> 1 <br /> �: . <br /> s <br /> • <br /> ,. <br />