Laserfiche WebLink
SEWAGE <br /> Distance to Public Sewers = Connection necessary: Yes No -' <br /> Does existing septic system comply with Ord . 0549 : Yeses No— <br /> Unknown If no, explain : <br /> Des ribe septic insta:.lation to be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes Y No Is well proper: <br /> Yeses No State deficiency : <br /> __� 1`.t�.r�Gi�.,. 4; . .tom✓ � �/��'F�C .f���.G%fes ��.f./.J�.� <br /> Does existing or porpesed use make this well public water: Yes <br /> No Sample of well water tarsen : Yes No , Date, taken <br /> Results / Additional information or commentsEc� <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem : <br /> 4 . =. MOSQUITO OR VQT()]_EC)rj= <br /> State possible vector potentiftl & necessary control : <br /> 5 . TQIL,ET/$.ATH FACILITES <br /> No . & location existing: �zL Additional <br /> facilities needed _ <br /> 6 . PREVIOUS OPERATION HISTORY <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted: <br /> 8 . POPULATIONDr P 'CITY j <br /> Appx . No . Peorile per sQ . mi . � s�d.0 �.�f-. E���.✓ -'� <br />