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int-OT FLAFJ <br /> (Draw To Sc,,Iv)ALL TO <br /> 3L� <br /> 0 <br /> 1 Names of streets or roads nearesl to or hou idinrJ thr- properly <br /> 2 Outline of the property givinq dimensions and North dirot-lana <br /> r 3 Dimensioned outlines and locations of all existing and propo;vd strut tures including t cava rf d irt, is such a5 pants. <br /> driveways and walks <br />' 4 Location of house sewer outlet pub„c Sewer of wage r'isp(),(al .y,,ta m or proposed mew a(Ji, disposal systf,rn <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 prooerty or within a radius of 150 feel <br /> _v._.i- <br /> I <br /> Q <br /> �I __U 3&L \ <br /> el � i I 1C r�E G u <br /> 97 <br /> ------------ <br /> � lC7 I s rToR G F - <br /> ,r s <br /> } � <br /> r ! I <br /> { I <br /> 1 I <br /> t <br /> 1 T <br />