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I <br /> (Draw To Scale) <br /> SCALE " TO <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 locationsof 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 /> 5. Location of other wells within radius of 150 feet on the property,or adjoining property. r <br /> 6. Location of sewage disposal system on adjoining property-or\Mthin a radius,ofx150 feet. <br /> F <br /> f � I <br /> � I <br /> I Ii i � <br /> h f ii <br /> I I I <br /> 1 k <br /> I i i <br />