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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 /> Describe septic installation to 'be installed: <br /> AA-L <br /> 4 <br /> t <br /> 1 <br /> Z, WATER SUPPL`L <br /> Is wa supplied. bi private <br /> well Yes Yes ��o Is well Proper: <br /> E <br /> Yes Na State clef ieiency: <br /> Does existing or porposed use make this well public water: Yes <br /> No_,ZSample of well water taken: Yes No ✓Date taken <br /> Results Additional information or comments <br /> 3 , <br /> Licensed scavenger pick-up: Yes No Service Area No,, <br /> Other proposed disposal method: <br /> r Potential problem: <br /> a <br /> 4. FLY.- MOSQUTTQ QR VEQT0R EQTE NITAL <br /> State possible vector potential & necessary control: <br /> P <br /> 5 . TOQUETZBATH EACTLITEE <br /> No. & location existing: Additional. <br /> facilities needed.. <br /> 7. <br /> State any problems not previously noted: <br /> 8 . p MULATUM DEHa-1I1 <br /> Appx. No. People per sq. Lei. <br /> I <br />