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FLU VLAM <br /> (Draw To Scale) <br /> SCALE _ —" TO — <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 /> 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 75 feet on the property or adjoining property. <br /> 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> L 1 <br /> r I _ <br /> r _ Lit- <br /> ON <br /> S <br /> 114, <br /> Tt <br /> TN <br /> r� - <br />