Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes NoZ_ <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 . WATER SUPPLY <br /> Is water supplied by private well : Yes X No Is well proper: <br /> Yes_ N-o/ S�P adeficiency : , <br /> leficiencY : <br /> /6�,✓ � O Fi�6 l�fc�,.d � .I' o�.Ci1 �f td.l .L cS�i E�if /ter/ <br /> -Vol e7 <br /> �6F z <br /> Does existing or porposed use make this well <br /> No Sample of well water taken: Yes NoX Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No ervjce Area No. <br /> Other proposed disposal method: /�^ e �TA aw <br /> Potential problem : <br /> 4 . FLYL MOSQUITO OR VEQTOR POrJENTIA , <br /> State possible vector potentiftl & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No . & location exist r, Additional <br /> facilities needed ��/�'9✓ " J E </ <br /> 6 . PREVIOUS OPL�TION HISTORY <br /> 7 . GENERAL SAIJITaTION <br /> State any problems not previously notad: "gi ' f/ <br /> S . POPULATION DENSITY <br /> Avnx . No . Peon 1e per 8a . mi.__�,� /C'l/ ,�� '�✓/cD moi, <br />