Laserfiche WebLink
SEWAGE <br /> Distance to Public Sewers /V <br /> a"--oconnection necessary: Yes Na�„� <br /> Does existing septic system comply with Ord. #549 : Yes No_ <br /> Onknoun If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2. WATER SUPPLY <br /> Is Water supplied- by private well : Yes ✓ No Is well proper: <br /> pP - <br /> Yes No State deficiency : <br /> Does -sting or porposed use make this well publ water: Yes <br /> NoSample of well Water taken: Yes No Dat taken <br /> Results Additional information or comments <br /> 60 <br /> 3 , GARBAGE & REEREE <br /> Licensed scavenger pick-up: Yes No Service Area o. <br /> Other proposed disposal method: _ <br /> Potential problem: <br /> 4. ELL M 7QSb0ITQ OR VECTOR PO' E <br /> State possible vector potential necessary control: <br /> 5. TQTLET/BATH CACTL ITEa ` <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. MWTFT^"C nPERAITON HTSIORM <br /> .f <br /> vG <br /> 7. GENERAL SANTTATTON <br /> State any problems not previously noted: <br /> 9 . POPULATIQH DENSTTY <br /> Appx. No, People per .act, mi. - — <br />