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SCALE " TO-- <br /> I <br /> O 1. Names of streets or roads nearest to or boursding 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 or proposed sewage disposal system,. j <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of 150 feet on the property or adjoining property. '. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> FTI <br /> TU, <br /> 4-1 <br /> I <br /> I ! <br /> i I <br /> I _ <br /> .40 <br /> Cr <br /> r ! I <br /> E. <br /> i <br /> r <br /> I <br /> I- <br /> E <br />