Laserfiche WebLink
R <br />Q <br />S 3 WAC F <br />Distance to Public Sewers Connection necessary: Yes No_ <br />Does existing septic system comply with Ord. #649: Yes No_ <br />(unknown l f ' nc , explain: <br />Describe septic installation to -be installed: <br />2. WATER SaPPL`I <br />Is Water supplied -by private well: Yes iso Is well proper: <br />Yes No State deficiency: <br />Does existing or porposed use make this well public water: Yes <br />- <br />No Sample of well anter taken: Yes bio Date taken <br />Results Additional information or comments <br />3. CARRACE P <br />Licensed scavenger pick-up: Yes No Service Area No. <br />Other proposed disposal method: <br />Potential problem: <br />4. ELY._MOSOUTTn QR VECTOR POTENTIAL <br />State possible vector potential & necessary control: <br />5. n ET/BATH FACTLITES, <br />No. & location existing: Additional <br />facilities needed <br />7. <br />GENERAL Sri'?j TAT7nN <br />State any Problems not previ5uilJ noted: <br />9 . nnfTT. ^'T 1'Y 7,w'f:37TV <br />:jpq :. go. 2 t:? l a Der aq mi. <br />