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i f <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 5UPPI-1 <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 /> E No Sample of well water taken: Yes No Date taken_ <br /> Results.. Additional information or comments <br /> 3 . GARBAGE & RFEjS <br /> Licensed scavenger pick-up: Yes No Service Area No.�______� <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY. MQSQU TI O 08 VECTOR PQ' <br /> State possible vector potential & necessary control: <br /> I <br /> 5 . 10-ILFIZBATH FACTLITE5 <br /> No. & location existing: Additional <br /> facilities needed <br /> 4 <br /> 6. p.REVI-025OPERATION Hj,STORY <br /> k <br /> ? . GENERAL SANITATION <br /> State any problems not previously noted: <br /> S . POPULATION DENS?TX <br /> Appx. No. People per sq. mi. <br /> I <br />