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f <br /> Px� P <br /> SFWAG <br /> 'Distance to Public Sewers � � 'ti``t� Connection necessary: Yes ✓ <br /> Does existing ., septic system comply with Ord? #549 : Yes— <br /> Unknown-- <br /> Unknown If no, explain: No� <br /> © -2fS7 <br /> Describe Septic installation to 'be installed: <br /> .i <br /> 2. RP <br /> Is water supplied- by private well : Yes ✓No° Is Bell proper: <br /> Yee ✓ too State def is iency <br /> Does a sting or porposed use make this well pub-lic water: Ye <br /> st <br /> No Sample of well water taken., Yes No ✓! Date taken <br /> Results _ Additional information or comments <br /> 7f 7, f"747 . <br /> 3 . <br /> Licensed scavenger pick-tap: Yes No Se ce Area No.�� <br /> Other p posed disposal method: ; <br /> Potential roblem: <br /> 4. S i^Tf1 T d <br /> State possibl vector potential & /Cessa <br /> rycontrol: <br /> i <br /> 5 . TQTLFI/BATg FAC <br /> No. & location exiTting: Additional <br /> facilities needed <br /> 6. EaRVIOnS OPRRATION <br /> 77 <br /> it <br /> 7. UMPAL SANTTATT/N <br /> State any pr ob ms not previaciy I y noted: <br /> 8 . PQP1TLA7T.Qj4 QRNS7TX <br /> Apex. No . People per sq. mi. <br /> �1 <br /> 11 <br /> 3 <br /> j <br /> I! <br />