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r r <br /> SKNAGE <br /> .� <br /> Distance to Public Sewers Connection necessary: Yes No„_,.. <br /> Does existing septic system comply with Ord. #549 : Yes No_ <br /> Unknown' If .no', explain: <br /> 1 <br /> Describe septic installation to 'be installed: <br /> 2. WATER, I <br /> Is water supplied. by private well : Yes � No Is well proper: <br /> Ye6Io State defi <br /> „� cioncy! <br /> Does existing or porposed use make this well public Water: Yes <br /> No mple of well water taken: Yes NoDate taken <br /> Results Additional information or cowmen s <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes N Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . ELY, MQSQUITQ 08 VECTOR EQUNTIAL <br /> State possible vector potential & necessary control: <br /> 5 . TOTLET/BATH FACTLITES <br /> No. Fc location existing: Additional <br /> facilities needed <br /> 6. PREVTOUS OPERATIQH HTSTQRX / J'5 zl-.r-/ /S Tir /moi <br /> f cl v cf <br /> r , <br /> 7. GENERAL SANITATION <br /> State any problems not previously noted: <br /> 8 . pOPULATIQU DEQ TIX <br /> Appx. No. People per sq. mi. <br />