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Distancs to Public Se�,aer5 Connection necessary: Yes - Nc <br /> Does existing septic system comply with turd . 0549 : Yes--- No— <br /> Unknown---- If no, explain: <br /> Describe eep is inztallatioa to be installed: <br /> Is water supplin! b private ;cell : / Yes _ No Is well proper: <br /> Yee— o-- ST.,: e <br /> Does jxist inZ or purposed case; make thin well public water: Yes <br /> Flo S��a Of "oil ;t"r wa en > Ye s No"= Date taken <br /> Result � � �� �� 'Yinnal �d�ln ww �. on or commentslet, <br /> 'j6 <br /> a <br /> � . r - <br /> Licenced ; :n$yanger piclk-ir: Yes,_._ No Service Area No, <br /> OtherTR oY-pY..a Yw'w i.'a j o n! �1�'Yj.��6P+w♦ <br /> Potential <br /> l <br /> 4 . <br /> State possiblA: voctor po' e tial necessary control: <br /> MUL. . ,,� �� W <br /> No. & 1 �,�� 3 °_ .__�� Additional <br /> facilities Awwd� <br /> Appx. No . People nor vq . <br /> ggg <br /> g: <br /> j <br />