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(DRAW TO "SCALE) <br /> �. SCALE. ; .rr TO <br /> 1. <br /> Names Of streets or roads nearest to or bounding the pro ert <br /> 2. outline"of Ce ' ro ext P y..„ <br /> P P y;' giving�dimen�s�ions and North <br /> -Outlines 3Dimensioned -Outlines and locations of all existiri . and <br /> coverad'`areasT"such I ' patios, driveways and walks.-_ _ proposed sCructures, including <br /> ­4;`;:­,`Locatiori'r;f 'house sewer .outletsewer, {� �' <br /> " 1a'fdispo`sal s, stem , .Public `sewage disposal. system or proposed ,sewage <br /> Y , Proposed expansion of sewage; disposal, system:, ox any. other possible <br /> source of contam-i�riation. . <br /> S. .Location of-other wells" ithin radl`uso£.,7'5=feet on ro` ext <br /> 6. Location of sewage. disposal system on adjoining P P Y or adJoining_ pro. ert <br /> P y• <br /> _ ,� g property or within_,"a rsd •us ;of 100 feet. <br /> v 1 y C) 0 <br /> ri <br /> E 1 f j r i <br /> �� � `•��'°"-�_' "«ate _ �� �„� __rte "r. ;.,,a �. _: �_t• � _ y ���,` �, <br /> 'Al <br />