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lDice to Public Sewers "} Connection necessary: Yes ✓No� <br /> Does existing septic system comply with Ord . #545 . Yes <br /> Unknown If no, explain: <br /> Describe septic in tallation to be installed: <br /> J <br /> Z , WATER SUPPLY <br /> Is wa supplied by private well : Yes '� No Is well proper: <br /> Yes Na State deficiency: <br /> Does sting or pornosed use make this well ppfc water: Yes <br /> No Sample of well water taken: des No Date taken <br /> Results Additional information or commenu <br /> 3 . GARB <br /> . Licensed sca enger pick-up: Yes No Servi Area No. <br /> Other propose disposal method: <br /> Potential proble <br /> 4 ELY, MQSQUITO QB OFZ Y , t -PCM TIA <br /> State passible vecto atentinl & nieces iy control : <br /> No. & location existing: Additional <br /> facilities needed <br /> 6 . EREVTOUS OPER61TO14n <br /> 7 <br /> 7 . GENER <br /> - <br /> State any pro'ble s not previously noted- _ <br /> Appx. No . eople per sq. mi . �- <br />