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OU, t FAN <br /> (Draw to Scale) <br /> SCALE ,_" TO_-' 4� <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. 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 /> 4, 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 /> S. 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 150 feet. <br /> ------------ <br /> -- JD — - - <br /> R <br /> , <br />