Laserfiche WebLink
l. 4`0WA0E (2 <br /> Distance to "ublio Sewers Connection neceaeary: Yes No —� <br /> Does exia`iryg septiic gsIf hot t"q Op y with Ord. 649: rem _ No <br /> Uescribe naptic installation to be inatalled; <br /> • w <br /> iw • <br /> 77a � <br /> Additional intorwtion or comments: <br /> 2• NATER SUPFLY <br /> IQ 'water supplied by private well: Yes (Jo / Is well proper: Yee NoAe <br /> _ <br /> Does axial' or '� � <br /> � proposed use makes"this well public water: Yea _ <br /> Sample of well water taken: Yes <br /> •. _ No Data Taken _ geaulta~ <br /> Additional information or comments: <br /> 3. GARBAGE & RF_ USE . <br /> Licensee scavenger pick-up: Yes _ No 'Service Area No. <br /> Other proposed disposal method <br /> Fo-te: a pro tem: ./t_�-,2-`I /1--Z^-� ✓2LCL �'"7C_� i — <br /> �• FLT. MOSQUITO OR VECTOR IOUNTIAL - --- <br /> State possible vector potential & necessary control: <br /> S. Alk E'O LLU TIG:: i'01"c111'l A I. <br /> 'tate: '"slo_e turrunC or processing i,Uliutants A necessary control : <br /> 6• TUIL-ET/IIATN FACILITIES <br /> ho. & location existing: Additional facilltle9 needed <br /> 7. Chr•VIUU;; U, <br /> u- GH,H(A1 ;iAl;� ATtut� IV � 1�/� �,�1 ;f'�f a_A1x-°L.�!'t�t� <br /> �_�p�1•� s yz i� s r.�.f ems, . �, <br /> rvt�eras-rnr'C�;i�v►o u:, y nu _. <br /> 9. POPUI.ATIUN DENSITY <br /> Appx. iqo. I-eople per sq. n4i. ld -P rl��Q <br /> -,:P /� rrr�a y : s X30/e a 51rva`G <br /> xr -00;;00Ve� <br /> .. �:7•:.. •fir. .. - -, <br />