Laserfiche WebLink
A <br /> •`i <br /> 1 . SEWAGE ! <br /> 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 /> D scribe septic installatio to be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No_�_< Is well proper: <br /> Yes No State deficiency : _ <br /> Does existing or purposed use make this well public water: Yes ><_ <br /> No Sample of well water taken: i'es No Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> L censed scavenger pick-up: Yes No Service Area No . <br /> Ot er proposed disposal method: <br /> Pate tial problem: <br /> 4 . �� MOM ECTOR Pte'NT IAL <br /> State pos ble vector potential & necessary ontrol : <br /> 5 . TQILET/BATH FACILI1'ES <br /> No. & location existing:_ ___. Additional <br /> facilities needed _ <br /> 6 . PREVIOUS OPERATION HIS _Q <br /> 7 . GENERAL ^N i,LON. ~� <br /> State any problems not previously no d, - <br /> 8 . <br /> : _8 . _GPULAT_IQN DEiJ=_. <br /> Appx. No . People per sq. mi . -� <br />