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kr <br /> pLCf <br /> (DRAS:' TO SCAl,l- . <br /> SCALE " TC <br /> 1. Names of streeta or roads nearest Lo or bounding the property, <br /> 2. Outline of the property, giving dimensions and North arection. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walls. _ <br /> 4. Loc.•tion of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> dispusal system, proposed expansion, of sewage dispos+:l system, or any other possible <br /> source of contamination. <br /> 5. Location of other wells within radius of 75 fe.,t on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or withir, a radius of 100 feet. <br /> ...__.. 1 '.....1....... <br /> .. .....r_.. . <br /> 1 <br />