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G. uuf',ne 4)'1 We praperTy, glVih-q uirRWIF+TOM, dl "j MitiM dnT1,-t1ui <br /> 3 Dimens,o,isd outlines and locations of all existing and proposed structures,including covered areassuchl as patios, <br /> driveways and walks. <br /> :1 t-ocatlon 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 r_ontaminalion. <br /> 5. Locant!- o4 other wells within radius of 150 feet on the property or adloln ng property. <br /> o_ t ocahor of sewage disposal system or, adjoining P6erty cr withir, a radius of 150 feet <br /> _ I <br /> 1fit <br /> 4 _ <br /> Z <br /> o <br /> t� <br /> [� <br /> � ' I <br /> 1 1 1�t r I L i I <br /> t 1 / if t A ifFTl <br /> i I <br /> P <br /> x, r I i <br />