Laserfiche WebLink
v:t.0 f. <br /> Distance to ,,ublic sewers Connection necessary: Yes _ Lo _✓ <br /> Does existing septic system comply with Ord . #549: Yes No Unknown <br /> If no, explain: <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes _�No _ Is well proper: Yes tjo <br /> State deficiency: <br /> Does existing or proposed use make this well public water: Yes _ No <br /> Sample of well water taken: Yes _ No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes _ No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: rlrllJ ku_ lb t'LAwtz� <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. 'TOILET/Bm FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. PREVIOUS OPERATION HISMRY <br /> f <br /> A <br /> T <br /> b. GENERAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY /� / <br /> Appx. No. People per sq. mi. 'L;j L T f'giu <br /> f <br />