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' I <br /> r-1,07 PLr2W <br /> (Dralit To Scale) <br /> � F <br /> SCALD -- " rO- ---- <br /> i, f l,�mes of streets or roads n.arest to or bounding the propafty,, <br /> 2 Cuiline 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 patic)s. <br /> driveways'and walks, <br /> �,. Location of house sewer outlet, public sewer, sewage disposal systern 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 150 feet on the property or adjoining property. _ <br /> 6. Location of sewage disposal system.on adjoining property or within a radius of,150 fool,F1 <br /> ,° <br /> i <br /> I L I <br /> a <br /> f <br /> F <br /> �r <br /> l <br /> - 1 LTl <br /> k' t <br /> N <br /> LLI- <br /> H-4J, t __ F . . _ <br />