Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord, 41549 : Yes No— <br /> Unknown If no, explain : <br /> Describe septic installation to 'be installed: <br /> 2. WATE$ S(1nPL,`1' <br /> Is water supplied by private ;cell : Yes 'No Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make this well public water: Yes— <br /> No—., Sample <br /> esNo ., Sample of well water taken- Yes No Date taken <br /> Results Additional information or comments <br /> Licenced scavenger pick-up: Yes..,_, No Service Area No. <br /> Other proposed disposal method: <br /> Potent'l-al Problem:_..._._ � <br /> 4 . LY. M SQ U T Tn QEyr,;0_PS!'L , TIAL. <br /> State possible vector potentiftl necessary control: <br /> 5 . 'TOTT,F3ATR a' j( jL=,2 <br /> No. & location exi V ting : Additional <br /> facilities needed--_ <br /> 6 . PRS rem ;t,' _HTSTnTiy <br /> 7 . SaF..l3 A S�tiITA'l' <br /> State any problems not previously noted: - -- <br /> Appx. No . People per sq mi .— <br /> --- <br />