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h <br /> N k =(Draw To,Scale) �' { <br /> SCALE "'TO <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline-& 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, <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within radius of,1.50 feet on the property or-adjoining property.- <br /> 6. <br /> 6. Location of�se+vage disposal system'on adjoining property or within a radius of 150 feet. <br /> i <br /> I[ <br /> — I <br /> • r <br /> - � r <br /> s — <br /> T <br /> N <br /> M. <br />