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i. SRWAGI <br /> Distance to Public Sewers Connection necessary: Yes No�. <br /> Does existing septic system comply with Ord. #548 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> v <br /> Z. WATER SUPPLY <br /> Is Water supplied- by private Well : Yes No' Is well proper: <br /> Yes No State deficiency: <br /> Does existing or porposed use make this well public Water: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> E: <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No.� <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECIOR EUESMITAL <br /> State possible vector potential FA necessary control: <br /> 5. TQTT,ET/BATH FArIL]'TEa <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. P.REVIOUs O EHATTQN HTSIQRX <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted: <br /> a . E 2trLATIOH DEsHSTTY <br /> Appx• No. People per .sq. mi. <br /> a � <br />