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(DRAW TO SCALE) <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 existingand `i <br /> 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 conCamination. <br /> 5: Location of other wells within radius of 75 ..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 /> i <br /> 7' <br /> :1 .. <br /> , <br /> R 1 <br /> � ..w..t ... ....... <br /> dig ' <br /> 0 9 <br /> .1 <br /> 7 <br /> a <br />