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Ma •••• • • Da.. • • • <br />(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 />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 property or within a radius of 150 feet. <br />--.,k <br />r '4.: limo <br />la III <br />an <br />0. I t . 1.111111 e i I IIII lin moo a <br />_ U <br />L .i1 ,00: <br />I k <br />, <br />" , bt, .. Kd <br />- r t 4 _4 <br />i <br />i <br />1 <br />II '- <br />it <br />ii II <br />i 1