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r _ <br /> (DRAW TO SCALA. <br /> SCALD "� 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 E <br /> covered areas such as patios, driveways and walks. <br /> 4'. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewage disposal systemj:,,or•, any other possible <br /> source of contamination. `' <br /> 5. Location-of other wells within radius of 75 feet on the`ptdpertj 0"r_Aidjoinin9"property. <br /> 6. Location of sewage 'diBposal' system on ad3oining property ,_or within a.radius of 100 feet. <br /> _ ._. ............ <br /> . ..:__.... - -- <br /> - - -- _.,__ .......... ..... <br /> _x <br /> , ). <br /> i- 3' <br /> r . y <br /> , <br /> 4. <br /> r• <br /> • <br /> 3 <br /> ,. u. .. <br /> - <br /> d $ <br /> i} <br /> f <br /> 1 <br /> jab <br /> M <br /> : <br /> , <br /> a. <br /> f <br /> : <br /> St; <br /> i <br /> } , <br /> , <br /> .W, <br /> i <br /> , <br /> i <br /> _ , : - <br /> ; <br /> -------------- <br /> , <br /> S , <br /> .;i <br /> '-i- <br /> : <br /> , <br /> , <br /> , <br /> , <br /> r. <br /> ............ <br /> . . , <br /> 4 <br /> - <br />