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_�.. (Dra►g fio Scale) <br /> TOS <br /> " -SCALE- ��° 1-L,?( + <br /> 1. Names of streets or roads''nearest to oe bounding'theprop61rty. � <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 contam' ation.' <br /> 5. Location of other wells within radius of 75 feet on the property or adjoining property. 'o <br /> 6. Location of sewage disposal system on adjoining property or within a radius''of 150 f <br /> VJ U' <br /> ly <br /> F'fl r <br /> f - k <br /> C <br /> t <br /> :?T <br /> rCT . <br /> i <br /> • 3 - <br />