Laserfiche WebLink
1 . SEWAGE <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 /> Desc a se tic ns llation o be installed: !/Hi 1✓ <br /> �!i <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes 110 Is viell proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make- this well public Water: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem- <br /> 4 . <br /> roblem:4 . =. mQso iTQ QR V 'GTCI P2f LT ALS <br /> State possible vector potential & necessary control : <br /> 5 . TOTUT/BATH LACI _TTVIZ <br /> No . & location existing : — Additional <br /> facilities needed - <br /> 6 . PRFV10E t�P1 RATIOi� HISTO <br /> 7 . GENERAL SAID A'1'ION <br /> State any problem: riot t previous].y noted:— <br /> g , PULAZIDI DERIaITY <br /> APpx• No . People per rq . mi . <br />