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(2) <br /> 1. SEWAGE <br /> � , <br /> Distance to Public Sewers 6V6LA - Connection necessary: Yes)—el Ido _ <br /> Does existing septic system comply with Ord. #519: Yes — No — Unknown _ y <br /> If no, explain: <br /> Describe sept' installation to be installed: <br /> Add* 'onal information or comments: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes No"2�L Is well proper: Yes _ No <br /> State deficiency: 1, <br /> _ b <br /> �KDoes existing or proposed use make this wel public water: Yes _ N <br /> Sample of well water taken: Yes — No ate Taken Results <br /> Additional information or comments: z� / <br /> 3. GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes o — Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: "�7C'06W <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTE14TIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> r <br /> 7. PREVIOUS OPERATION HISTORY <br /> b. GENERAL SANITATION <br /> State any problems not previously noted: � - <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />