Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes No , <br /> Does existing septic system comply with Ord . #549 : Yeses_ No_,_, <br /> Unknown If no, explain: <br /> Describe septi,,c instal ation to be installed: <br /> X71 �'K�o,l �o�✓ �E,r _ <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well: Yes X No Is well proper: <br /> Yes No State deficiency : m� � <br /> fY p%r e,,#14 E/R>vsJ��0 <br /> Does`G� est g or orPosed�usc�malcc�his llp�Flis water: Yes <br /> NOL: Sample of well water taken: Yes Nom Date taken <br /> Results Additional information or comments �9���F E�f i�6 <br /> rif.G.l1 ��� ,,.d�� 9i✓4 ,���iF <br /> 3 . GARBAGE & REFUSE <br /> Licenaed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem .- <br /> 4 . <br /> roblem:4 . E11, MOSQUITO OR VECTO ECi'f=AL <br /> State possible vector potentittl & necessary control : <br /> 5 . TOTT.FT/BATH FACILIJ'ES <br /> No . & locution existing : !` _ Additional <br /> facilities needed <br /> 6 . PREVIOn2 GPERAIMN HISTCi , <br /> 7 . GENERAL ,"Aj7ITaT ON <br /> State any problems not previously noted: <br /> 8 . pO ULATION DENSITY <br /> Appx . No . People per f,-q. m i . <br />