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. 12 <br /> 19 EMU r <br /> Distance to Public Sewers - Connection necessary: Yes No_„_, <br /> Does existing septic system comply with Ord. #549 : Yes No_ <br /> Unknown-,If no, explain: <br /> Describe septic installation to *be installed: <br /> —cis <br /> 2. WATER SUPELY P/1,,1 T7 L-�e .2�4/ �. <br /> Is Ovate <br /> ;.,-supplied by private well: Yes No Is well proper: <br /> Yes No State deficiency: <br /> Does exis ng or porposed use make this well pu, bl_ic dater: Yes <br /> �. No ample of well water taken:- Yes No L-"-Date taken <br /> Results Additional informatiori,.or comments r4e #C.% <br /> r-- z <br /> ej <br /> r f <br /> 3 . rARBAGE & REFUSE <br /> Licenced scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem:_ <br /> 4. FLY, MOSQUIIQ 08 VXy^TOR FQ'CLNTIAL <br /> State possible vector potential & necessary control: <br /> 5. Tfi- ILFT/BATH FArILITE5 <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. VO <br /> 7 . r <br /> State any problems not Previously noted: <br /> S . pnPULATTOM DRYSITY <br /> Appy. No. People per .aq. mi. <br />