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' e <br /> UWAU <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord. #548 : Yes No_, <br /> Unknown- If no, explain: <br /> y 4 ' <br /> Describe septic installation to 'be installed.- <br /> 2. <br /> nstalled:2. UTER Bupprly <br /> Is water supplied, by private 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 /> 3 . <br /> Licensed scavenger pick--up: Yes No Service Area No. ' <br /> Other proposed disposal method: <br /> Potential, problem: <br /> 4. ^.TQ FQ'rESTIAL <br /> State possible vector patentiftl da necessary control: <br /> 5 . Q FAG LITES <br /> No. & location existing: Additional i <br /> facilities needed <br /> 6. PREVIOU OPERAIJOH HrsTnax <br /> 7. <br /> State anis problems not preciously noted: <br /> 4 <br /> I <br /> 3 . P02ULAjTQj4 DRH3TTY <br /> Appx. No. People per aq. mi . <br />