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1 . UWACaE <br /> Distance to Public Sewers e±�t Connection necessary: Yes NO�L- <br /> Does existing septic system comply with Ord. #549 : Yes No.,4 <br /> Unknown If no, explain: <br /> /f !%.Gd E—e-7i!'G iia✓ /'�E�r'Pef s o��ef.Clf �.5/ /.�A/��`® ,�°srdd'�, sYA C"P/Es ,e�/ /L <br /> lfi' c /�/✓ iir <br /> Describe septic , ins,.allaion to be installed: <br /> .f ,fi '✓, tie e <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well; Yes -2K- No Is well proper : <br /> Y86-- No--,-!�, State def iciency: 61";y fAy� �•.�'E�.a .elle"-'9 <br /> .a'e.a✓� �%E'✓F'-� !''�I►./.��6' �"�a'C/,c:,v].dF �'y/./�� �`� •',✓F`"� •'�-° �f/�.✓.;��,E'.c`•'Y!°�/!•''��t'i <br /> �dNf �Cmaoege _� _.4 e K �!� ,' �,�// ,�c�,C'�*/�i ®�ti,{ •fC'f <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water -taken : Yes No ,-*' 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 /> Pete�r}}* is rot, e .�E�� �1.sf� <.•r c,Go �y'%dp ,�' .� F� <br /> 4 . FLY, MOSQUITO OR Vr1,,QTQR PSMETIAL <br /> State possible vector potential & necessary control - <br /> ,�' ,yam✓,Aaf sT' fir•r;0 , -- ! ,-eoll d c'ti a..G"c' fit` J�.�C o.2/''. oe��'F•ti <br /> 5 . TQ LET/BATH FAGMIMM <br /> No . & location exiting : __ Additional <br /> facilities needed- <br /> 6 . <br /> eeded6 . PREVIOU2 OPERATION HST &j <br /> 7 . GENERAL aANIT'fi= <br /> State any problems not previously noted- <br /> 8 . <br /> oted:S . POPITLATI%U D i=—1 <br /> A p p x . No . People per sq. mi . ' rii�it'"ei•Cj�d,�C - �4/„®Fiy7�9� <br />