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1. SEWAGE <br /> Distance to Public Sewers <br /> If <br /> Connection necessary: Yes NoDoes existingseptic system coylwith Ord. Nr49: Yes•no, explain: <br /> No _ Unknown <br /> Describe septic installation to be installed: <br /> Additional inrormation or comments: <br /> 2. WATER SUPPLY w <br /> Is water supplied by privato Ya ll: Yes No Is Yes well proper:'State deficiency: .._ No <br /> 1A W( <br /> Does existing or proposed use make this wellwater: Yes ublic <br /> Sample of well water taken: Yes p No <br /> No Date Taken Results <br /> Additional information or comments: (Jew — <br /> 3. GARBAGE & REFUSE ` 5��Jrc �. V -----• �..�;�P/ w� <br /> Licensed scavenger pick-up: Yes No ""� `y`- "-f '^ <br /> Other proposed disposal _ Service Area No. <br /> posal method: <br /> Potential problem: <br /> 4. FLY, MOSQUIM OR VECMR POTENTIAL <br /> State possible vector potential & necessary control: <br /> 5• AIR POLwTION POTENTIAL <br /> State possible burning or processing <br /> pollutant,, & necessary control: <br /> 6. TOILET BATH FACILITIES <br /> No. & location existing: <br /> 7. PREVIOUS OPERATION HISTORY Additional facilities needed <br /> d. GEI,ERAI. SANITATION <br /> State any problems not previously noted: <br /> 9. FOPUTATIO14 DENSITY <br /> Appx. i4o. People per sq. mi. <br />