Laserfiche WebLink
1 . SERE. <br /> Distance to Public Sewers Connection necessary: Yes Nam— <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 , v : .27 741 <br /> Oj <br /> Yes No Is weiiproper: <br /> is water LJp � le: -we-11 <br /> Yes_ State deficiency : <br /> Does ex ing 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 comments101 <br /> 1 <br /> • , <br /> ? 006A <br /> K i <br /> w <br /> 4.10 A0 <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed dispo6al method : <br /> Potential problem- --- <br /> 4 . <br /> roblem: ___4 . FLYMOSQUITO OR VECTOR POTEMIALL <br /> State possible vector potential & necessary control : <br /> 5 . TOTLET/BATH FACILITES <br /> No . & location existing, : ___ Additional <br /> facilities needed----- <br /> 6 . <br /> eeded --_-6 . PREVIOUS OPERATION HIL) RY <br /> 7 . GENERAL SANITAT-Lo 1. <br /> State any problems not previously noted: ^~_ <br /> 3 . POPULATION D SIT- <br /> Appx . No . People per sq. mi ._ '— <br /> R` <br />