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(DRAW TO SCALE) <br /> SCALA 11 TO <br /> I. Names o£ streets or roads nearest to or bounding the property. <br /> 12. Outline ofthe property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walks. <br /> J. Location of house sewer outlet, public sewer, stage disposal system or proposed sewage <br /> ` disposal: system, propos6d expansion of sewage disposal system, or any other possible <br /> '14 source of 'contamination. <br /> 3. Location of other wells within x& us of. 7-5 feet_ors the property n aradius o property. <br /> fr. Location. of sewage disposal system on adjoining property or within a radius of 104 feet. <br /> .:.�.......:y.a.:i a..__......'. ....._. ..:.. .ri .;r;�j _ .. ... <br /> '...'F..... :j,.�.:. i...........> a. ..... .......:.......j.......i... a•• I •_� '•_- <br /> .... ] ._. 1 .. •�. Vii. •�S' j ._ ` <br /> .... ..........L... .. -._L- - ... ... ... ... 4 <br /> .. ............. .. .. I ... <br /> Y j.....- y� .:y........ .j...?: .....�......:a.......1....... •S <br /> P-4-4— : : . 1 .. <br /> }......}.......j. ....j.......i.....i......i.... ..... ..l.. -.....s.......:.......r..'..y......' ... <br /> ! S...... .1.... ..................... <br /> y. .... 1� <br /> ... ... .. ... ... ... .... .. <br /> -171 <br /> .. ... _ ... ... .. 1 <br /> ... i.......i......-i.......i.. <br /> `.._.... <br /> .............. <br /> �. .>. ... <br /> ^yr E j a }....... i.......i.......j.......{.......�.. <br /> a.. 1...... 4.. .... .... .�y. ... ... ... ............ <br /> ... ... ... ... ... ... ... ... <br /> €....... -< L L ... .. -. <br /> ... ............. ........................... - <br /> ....j -._ ... ....i _ .. _ ....�.......�. ... ....i....._ rn <br /> r... I <br /> ;< i. ... ,. LJ-1-4- :.� <br /> i ._ ...,*....i.....i......L..�.......�...:...j.......�.......�.}�' T' <br /> ....... .. .. --- ....... <br /> ... ...-1.......1 .. .1.._ !- 1.......�, <br /> ..._..�......... .1. >i-....j..-. --. ....i..._ ... .j.... ... ............. <br /> 1---..:---- <br /> t..... � ... ... ... ... ... ..3. <br /> : : ; .j ... ... ... ... ... .. ... ... ... ... ... .L--.:..i.......0...,-..�_..............:..... <br /> ................ ....i.... ....j.... .j..... : ... ... ._.... <br /> iq 1• •j• i : 7 � S <br />