Laserfiche WebLink
t h <br /> 3.r � Al <br /> SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing 'septic system comply With Ord. #545 : Yes---;- No_ <br /> Unknown If no,•--explain: , <br /> Describe septic installation to 'be installed: <br /> II <br /> I� <br /> I! <br /> 2. WATER SUPPLY E/ g),o <br /> Is crier supplied. by private well ! Yes � No Is well proper: <br /> Yes No State deficiency: <br /> Does exi In or porposed use make this well publ crater: Yes <br /> No ..amP1e 'of well Water taken: Yes N01-1 Date taken <br /> Results I` Additional information or comments <br /> I <br /> 3 . UARBAGu & REEM <br /> Licensed scavenger pick--up: Yes No_,—S-6-rvice Area No. <br /> Other proposed disposal method: <br /> Potential problem'- <br /> 4. <br /> roblem:4. FLY, MOSQg jQ inRr V F^ nR F ' <br /> State possibl '� vector potential & necessary control: <br /> 5. TOILETZBATH FACILTIES <br /> No. & locationl! existing : Additional <br /> facilities needed <br /> 6. PREyloaS OPERATION „HISJOEX <br /> 7. QzENEEM.- A1jw'TAT70j <br /> State any Problems not previously noted: <br /> s . nOPULATIQpiSj4STIv <br /> Appx. No. People per .ren. mi. <br /> r -CA-� Sly <br /> a <br />