Laserfiche WebLink
J04�1 , T 7�- <br /> 1 . SRWAGE <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 . WATER SUPPLY <br /> � ,v� of y 26 / <br /> Is watr supplied by private well : Yes No_ Is well proper: <br /> Yes No— State deficiency : <br /> Does pkisting or porposed use make this well pub is water: 'les <br /> No_!Z_ Sample of well water taken: Yes_ NoDate taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes_ No, Service Area No . <br /> Other proposed disposal method: / <br /> Potential problem: <br /> 4 . FLY, MOSQUITO OR Vr,CTOR POTENTTAL <br /> State possible vector potential & necessary control: <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing: Additional <br /> facilities needed <br /> 6 . PREVIOUS GPLRATIoN HIRTnRY <br /> 7 . G .N .RA . SAN TAT_TON 004A ✓` '410ea L� h �/ I-ld ✓SP <br /> State any problems not previously noted: <br /> AP tri i`t E' <br /> I A,f <br /> 9 . POPULATION DENSITY [ p <br /> Appx . No. People per eq. mi . <br />