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(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 /> 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 /> 's 5. Location of other wells within radius of 75 feet on the property or adjoining property. <br /> E 6. Location of sewage disposal system on adjoining property or within a radius of 150 feet. <br /> V - <br /> } i <br /> t . <br /> I T- <br /> t <br /> I <br />