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LOT PIA,N <br /> GA,AW TO SCALE) <br /> SCATJ` -ro <br /> I. Names of streets or rand,; n��,rir�,�t to or <br /> , tile property, <br /> 2. Outline of the properC North d1rfcf,- ,) <br /> "' n. <br /> 3. Dimcn,,jioncd ovitnnt��, aitl ic��:rtjons of" alp exi ;Llrle, mad pr000aed t1tructures, including <br /> covered area: such as patjo,i , Arivewnys and walks. <br /> 4. Location of house sewer ntit-Jet, ip!1blIc Vcwcr, sewage dispc=3al eystem or proposed sewage <br /> disposal system, proposed expaiston of sewage disposal syst-'em, or any other possible <br /> source of conta-mination. <br /> 5. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> 6. Location of sewage diapo,iaj ayoterzi eI, Property o- within a radius of 100 feet. <br /> ........... .................... <br /> ... ...... ------ <br /> 4� <br /> ....tj....... <br /> ........... ................ ....... ....... ...... <br /> .... .......... ...... <br /> ..... ..... ...... ........ <br /> ......... ....... ............ <br /> .............. ........ <br /> .............. ........... <br /> .............. ........... ....... ....... ....... ....... ....... ...... <br /> ............ ...... ........ <br /> i d....... .......�__j....... <br /> PP.... ....... <br /> . ....... .. <br /> .......... ...... <br /> .......... ......... ........ ....... <br /> a,, <br /> .. ........... ..... ....... ...... ...... ...... <br />