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I. Names of streets or roads Nearest ro or bounding the property. <br /> 2. Outline of the property, giving c:lnensions and North direction. <br /> =, 3. Dimensioned outlines and locations of 311 existing and proposed structures, including <br /> } covered areas such as patios, driveways and walks. <br /> Location of house sewer cutlet, 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 /> � Ip 1 <br /> .. ... .. .... ....... . . <br /> r. <br /> r � <br /> A <br /> �r. <br />