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Distance to Public Sewers Connection necessary: Yes No_ . <br /> Does existing , septic system comply with Ord. #549 : Yes No_ <br /> Unkn6*n- If 'no; explain: <br /> s <br /> eo <br /> 6� C <br /> Describe septic installation to •be installed: <br /> 4 ' <br /> 2 , WATER 29ULY <br /> Is water supplied by private well: Yes No Is well proper: <br /> Yes No State deficiency: <br /> Does existing or porposed use make tlxis well public dater: Yes <br /> No Sample of well water taken: Yes Na Date taken a- <br /> Results Additional information or comments PAP- V.-A - �( <br /> / V; f., r� <br /> 3 . GARBAGE & REEM <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. ELY. MOSQUITO 0 j V .^. 0 e <br /> State possible vector PO <br /> ential & necessary control: <br /> 5. TOTLEUBATH EArILITES <br /> No. & location existing: Additional <br /> facilities needed <br /> S. PERYT05 UER,,AZION HISTnRY <br /> 7 . GENERAL SANTTATTON <br /> State any problems not previously noted: <br /> s • EQBUj,AjTQM RYSTTY <br /> Appx, No. People per .aq. mi. <br />