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sR � � `6 <br /> 1. SEWAGE: Connection necessary: Yes No <br /> Distance to Public Sewers: <br /> with explain: <br /> Yes NoJoaquin County Development _ Title #549 ? <br /> Does existing septic system comply Unknown If no, <br /> Describe septic installation to be installed: <br /> r. 2�.2. -- �� cam, <br /> 2, WATER SUPPLY• <br /> . riv e well: Yes � No is well proper: Yes No <br /> Is water supplied by p d a$W7 <br /> St iciency: <br /> 0 _ - s � ! + <br /> Is well systema ublic ater system? Yes No Is the permit current? Yes o <br /> Is water/well , <br /> Does existing or proposed use make this well Public Water: Yes No <br /> sampling current: yes No Additional information or c9mm ent <br /> � 2170l <br /> .^ 70 <br /> r <br /> 3. GARBAGE & REFUSE: O�tl�proposed <br /> Licensed scavenger pic - s No Service Area -- �, p <br /> disposal method: <br /> Potential problems} <br /> 4, FLY MOS UITO OR VECTOR POTENTIAL: <br /> ef <br /> State possible vector potential and necessary control: — <br /> 5, TOILET/BAT [ FACILITIES: Additional <br /> Number and locations existing: -- " <br /> facilities needed: <br /> {. PREVIOUS ERATIO.N HISTO Y: <br /> � 4 l r .� <br /> 7, GENERAL SANITATION: <br /> State any problems not previously noted: <br /> g, POPULATION DENSITY: <br /> Approximate number of people per square mile. <br />