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4 <br /> -(I)I:AW TO SCALE) <br /> u <br /> ' L!; i.0 <br /> 1. Names of streets or roadsear *I Lend�boundingnd orhe direction. <br /> 2. Outline of the property, giving <br /> 7. Dimensioned outlines and locaticu,3 o1-aIL existing and proposed structures, including <br /> covered areae such as patios, dt1Y r�'I> and w.l.ks. <br /> covered <br /> re house sewer outlet, pubPlr. newer, sewage disposal system or proposed sewage <br /> 4. disposal system, proposed expanifet, - :! sewage disposal system, or any other possible <br /> source of contaminAtion. <br /> S. Location of other wells within rnd.,:ia of 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposal syst:•n '.m adjoining property or within a radius of 100 feet. <br /> _i �. ....i.......i...._. .... .....t._... <br /> ..... ......i.._....... .i.......:. - , - .I .. .. 1.. I 1 i i 1 <br /> .......i. i.......i.....,. : 1 <br /> t ; i i ...i._....i......I......i .......... <br /> ._.... ......!....._!.......i....... <br /> 1 ..................... .......-......: .. ... L..• <br /> L.... i1 ; <br /> .......................i.......i... <br /> ...i.......i.......i.......i.. ...i.......i. . _..i. .. <br /> : .....5......i..........._:.... <br /> ......_:.......f.......i....... <br /> c._... <br /> ........i...._° S' <br /> ' .......i.... ....I <br /> ......1.......1.......1...._.s......a......_ 1 ..;... ... <br /> _ a <br /> — <br /> i.. <br /> s i i i i . ... <br /> i......i....._i-......i.......�.......i._...i.......i......... -. <br /> { - -.... 4 <br /> f..y <br /> .,Ir <br /> 1 ' ,.:t.i. '... <br /> � ... . <br /> ............... l� ...t t, L,..utW <br /> "�. -. ........1 .i •ice ., �'t:✓ <br /> — <br /> WAWJ 1 <br /> ... <br /> r <br /> _._ <br /> , <br /> • i ♦ ♦. , <br /> • <br /> 1 <br />