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SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes Nott <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 3 ,7 <br /> " <br /> t. -72 . <br /> Is water,- supplied by private well : Yes �rNo Is well proper: <br /> Yes jv No__ State deficiency : — <br /> Does existing or porposed use make this well public water: Yes <br /> No_l,—Sample of well water taken: Yes NoJef'Late taken <br /> Results Additional information or comments Z 4P » �i <br /> !. d ". <br /> 3 . GARBAGE & REFUSE 4,� j a/- l -,- <br /> . Licensed <br /> . Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FLY. ,- MOSQUITO OR V +^ ) 'moi MMAL. <br /> State possible vector potential & necessary control : <br /> 5 . TQILET/BATH F t;ILI .Ma <br /> No. & location existing: ___ Additional <br /> facilities needed _ <br /> 6 . PREVIOUS OPERATION HIMY <br /> r.. <br /> e <br /> Av 3d �e 3 <br /> p <br /> �✓ �t.� -� � � / Coif �'� <br /> 7 . GENERAL SAKI' AMM <br /> State any problems not previously noted: <br /> 8 . POPULATIQN DENSIT-1 <br /> Appx, No . People per sq. mi. <br />