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- <br /> (DRAW TO SCALE) <br /> SCALE " T0. <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 <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 system, or any, other possible <br /> 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 100 feet. <br /> : <br /> : <br /> , <br /> t ........;.......�l......,._.....� ... .._ .. .-. .._ ,.�.is .. .i.....:}....i.......�:........._.-— .- --._.............. <br /> .. <br /> ......................«...... ....... <br /> __. ........ _. .............. .. ... ...... . . .. ...... ... .. <br /> ; t <br /> .... ... ....... ... .. _. _ t <br /> _ ... ... ... _-. t ... _ <br /> 'i ! : <br /> , <br /> .;.V <br /> i <br /> D Gfr <br /> ...............:.......t................ ... <br /> : <br /> _..... ................. <br /> t....... <br /> .a..... .......t....................... ............... .......... ... .. _ <br /> ; <br /> ; <br /> : <br /> , <br /> , <br /> ti I <br /> ; <br /> 4+I'Q <br /> L <br /> IJ <br /> }. ;. ;. i.. �.. ;.. <br /> : <br /> ,....... <br /> s.. <br /> 7 <br /> r <br /> I <br /> i <br /> ; <br /> i <br /> i <br /> , <br /> i <br /> . <br /> i <br /> , <br /> . I - <br />