Laserfiche WebLink
SC /l _ <br /> A <br /> :SKWAGE r <br /> Distance to Public Sewers Connection necessary: Yes Noz <br /> Does existing septic system comply with Ord. #549 : Yes No— <br /> Unknown ✓✓ If no, explain: <br /> no re cvt <br /> Describe septic installation to 'be installed: <br /> 2. WATER SUPPLY <br /> Is water su ied. b;7 private well Yesiso Is well proper: <br /> Yes No--Ll— State deficiency: <br /> Does existing or porposed use make this well public Water: Yes <br /> - <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br />� 3 . GARBAGE &_MUSE � �� <br /> Lice.noed scavenger pick-up: Yes No "S�rvi�e Area Na. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOE„ UteQ OR YMQTOR PO'PENTZ L <br /> State possible vector potentir► necessary control: <br /> 5. TOILET/BATH FACIL,TTES <br /> No. & location existing:_ _ <br /> ,� / �`'� --- _.... Additional <br /> facilities needed <br /> 6. PERVI U-5 cPER IQ 13xSTORY <br /> 7. GENERAL �SANIT ' TON <br /> State any Problems not previously noted: <br /> 8 . BQEULATIQi DENaTly <br /> Appx. No. People per req. mi . <br /> v ) <br />