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(Draw To Scale) <br />SCALE " TO_ ' <br />Names of streets or roads nearest to or bounding the property. <br />Outline of the property, giving dimensions and North direction. <br />3 Dimensioned outlines and locations of all existing and proposed structures, including covered areas such as patios. <br />driveways and walks. <br />Location 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 contamination <br />Location of Other. wells within radius of 75 feet on the property or adjoining property. • - <br />Location of sewage disposal system on adjoining properly or within a radius of 150 feet. <br />II •i- , , , ., .) <br />i_ 11 <br />..._ .HH III II <br />ii. 'U 1111 1 , <br />• MIMI <br />IIIII 41 <br />I III <br />EN <br />III <br />1 I. <br /> U MR 1111011111j <br />lip RU V. <br />_1