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NEW- <br /> i . SEWAaE <br /> ( <br /> Distance to Public SewersConnection 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 . 23 I- -4144 <br /> Is water supplied b>:� r -"� / <br /> - private we11 : Ies tdo Is well proper: <br /> Yes o St&j e qq� c le"ncy . <br /> Does existing or porposed use make this well <br /> No Sample of well water taken: Yes public water : Yes <br /> Results_ Additional information or commen-tsLate taken__ <br /> 3 . <br /> GAR_ BA ,F & Rey <br /> Licensed scavenger pack-up: Yes <br /> Other proposed disposal method : NO <br /> Potential problem: Service Area No . �_ <br /> 4 . �� MO�c�UITO <br /> state Possible vect,,�PS'-r-I��..�1L. <br /> - potentin.l & necessary control <br /> ----------- <br /> 5 . TOT[, T/RA I , <br /> No . & location <br /> facilities needed <br /> - Additional <br /> 6. 1 r' i <br /> AT I o a N �BX <br /> ell,. <br /> Y' <br /> 7 • �BAL SANT'1'A'1'Tt��j <br /> State any problems r,c)t. <br /> PreviausJ-y noted: <br /> Appx . No. People peg_, F-q. mi , <br />