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. I i <br /> TTD <br /> 1. 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 existing and proposed structures,including covered areas such as patios, <br /> { kk 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 contam nation. <br /> 5. Location of other wells within radius of 75 feet on the property or adjoining property. ADS o <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 1feet. <br /> Nrr'" t LU <br /> i <br /> - <br /> I <br /> /yam Ap FT <br /> =� = s- <br /> y 41 <br /> I <br /> -06 1 <br /> k , <br /> FEi ! <br /> -6i( <br /> - I - <br /> I iC 3 X <br /> i <br />