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� . SEWAGE <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 /> 2. VAT .R SUPP ,Y // 0 17Z3 tj C7 5)e6 1 7 7 91 <br /> Is water supplied b�p"r3vate well : Yes No_ Is well proper: <br /> Yes_ No_ State deficiency : <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes_ No_ Date taken <br /> Results Additional information or comments <br /> $ , GARBAGE. & RRFUSR <br /> Licensed scavenger pic p: Yes_ No_ Service Area No . <br /> Other proposed disposa method: <br /> Potential problem: <br /> 4 . E .Y. MOSQUITO OR VMOTOR POTE-MTTAF, <br /> State possible vector potents & necessary control: <br /> 5 . TO .T/HATH FAC. LTIE; <br /> No . Fc location existing: Additional <br /> facilities needed <br /> 6. PREVTOnS nPR ATTnNn <br /> 03o1- L/ <br /> r , <br /> ri E <br /> 7 . G .N .RA , SANTT 1� <br /> State any problems not prevlouel• noted: <br /> 9 . POPULATION DRNSITY <br /> Appx. No . People per eq . mi . <br /> � �,�' � , �� ✓ � �,` '2� �-- v� /�s � Wit` <br />