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s <br /> h.r REP J�crrT ruMr <br /> ZAK BERT LURK Off-TEC-MR, <br /> XVr <br /> cWwr�EK ' ' PkG�► +J NOX <br /> istance to Pub Sewer . rti "7s ry: Yes No <br /> Qjjn oilDevelopment Title #549 ? <br /> Ir <br /> o . <br /> ibe se p i llati o be ' allv <br /> L0WCJ <br /> o� F . ECIN <br /> ` 2. WATER SU I . <br /> z a er p Is well proper: Yes No <br /> LIM e deficien <br /> ST�Vt'rRl� <br /> i <br /> Is e-ll syste I ublic er s t e t current? Yes No <br /> -- Do s existin ropose se this we eeEOM�AIN o Is water/well <br /> s pling cun I :;yes N Ad itio or ents: <br /> b}l/�lSsL, f T <br /> T VAT . <br /> A �•-� <br /> . is sed sca er 'ck-up: Yes Nio ce reIt Other proposed <br /> isp sal InethQ <br /> ote tial pro (s): <br /> F Y M0J. JITO OR V POTENTIAL: � <br /> . <br /> llossibld'+ctor poter " EN c ENr+control: <br /> j <br /> 5. AITETIBAI�H FACILITIESE <br /> N mjer <br /> and ations existing: Additional <br /> fa flies nee I I <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Rev 1/99 <br />