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I <br /> t."Names of streets or roads nearest 10 or bounding ttie property. <br /> 2. Outline of the property, giving dimensions and Porth direction. <br /> 3. Dimensinned outlines and locations of a.tl existing and proposed structures,including covered areas such as patios. <br /> driveways and walks. <br /> a. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage disposal system, <br /> propoaed expansion of sewage disposal system, or any other pu Bible source of contamination. } <br /> S. 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 950 teet. ' ! <br /> ! _- <br /> 4- <br /> J0""""-4 <br /> I .hr <br /> E <br /> i I <br /> E._ <br /> -- - i E E j kk I � _�•—� <br />