Laserfiche WebLink
1. OE .2 <br /> Distance to 'Public Sewers Connection necessary: Yes No ' <br /> Does 1existing .,-septic system comply with Ord. #549 : Yes No— <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2. WATER 5UPPI-Y <br /> Is water supplied, by private well : Yes No Is well proper: <br /> Yes too State defici:;ncy: <br /> Does existing or porposed use make this well public Water: Yes <br /> No Sample of wall water taken: Yes No Date aken <br /> Results Additional information or comments <br /> Licensed scavenger pick- ,P-:'"Yes No Service Area No. <br /> Other proposed dispos method: <br /> Potential problem: <br /> 4. ELY, M059ajTQ QR r,:,-.ZnR P01M.HTTAT, <br /> State Possible' vecto atential & necessary control: <br /> 5 , TOTLETZBATH FACILITES <br /> No. & location existing: ---- Additional <br /> facilities needed <br /> 6. F'�RRyj01TS CPCRAjjf2HHTSTORY <br /> -r(NJr <br /> 7 . GENRE LZANITATION, <br /> State any problems not previously noted: <br /> 8 . p[}PU ATTOM Df NSTTY <br /> Appx. No. People per .sq. mi . <br />