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0-1 <br /> LOATo Scale) <br /> TO <br /> 1. Names of trel r0n�st gyrxlini the property. <br /> Z Outline o he pr rty, <br /> y iving dime ions and North direction. <br /> 3. Dimensio I d I n ns ll,existing and proposed structures,including�covered areas such as patios, <br /> ' I drivewa fwalks. <br /> I an . * <br /> A 4. Location house sewer outlet, public sewer, s wage disposal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. j <br /> 5. Location 'f other wells ithin radius;of.10'lfeet on the property or adjoining proper.`ty._ ,.. <br /> i 6. Location f sewage di s osal system on adjoiningFproperty or within a radius of 150 feet <br /> Qk <br /> i I , k <br /> �Ii � � 1 • 3 i � �f � �� � , I i <br /> 77 <br /> Al <br /> r I , <br /> - ' <br /> I J <br /> . - <br /> If <br /> A Jt 11 <br /> Ott <br /> x <br /> I ! ! <br /> r , f-Z 0 <br /> Ip 7 <br /> n07,5 <br /> ��' <br />