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Distance to Public Sewers Connection necessary: Yes No. L <br /> Does existing septic system comply with Ord. #549 : Yes No— <br /> Unknown If no, explain: <br /> Describe septic installtFion to 'be installed: <br /> I d� <br /> i <br /> 2. WATER SUPPLY (/bv,-tlt <br /> Is Ovate supplied. by private Well: Yes ✓ No Is Hell proper: <br /> Yes Na State dsf;ciency: <br /> Does ex ing or porposed use make this well pubjlc dater: Ye.� <br /> No Sample of well water taken: Yes No Date taken <br /> Results/ Additional. information or comments <br /> 3 . GARBAGE <br /> Licensed scavenger pick-up: Yes No Service Area No._.__� <br /> Other proposed disposal method: <br /> Potential problem: .-_, -- <br /> 4. FLY. M0,$QQITO OR VECTOR POTENTIAL <br /> State possible vector potential necessary control: <br /> 5 . MILEUBATH FACILITES <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. PHEYTOGS 0PRRATTQR­.HTqj0RX <br /> a <br /> 7'. GENERAL SANTJATION <br /> State any problems not previously noted: <br /> S . ROPULAT10 MINZITI.Y. <br /> Appx. leo. People per eq. mi._ <br /> I , <br />