Laserfiche WebLink
I . SEWAUE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord. #549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes 'No Is well proper: <br /> Yes No State deficiency: <br /> Does existing or porposed use make this well public Water: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Results 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: <br /> 4 . FLY MOSQUTTn 0$ VMQTnR P,Q'r NT A <br /> State possible vector potentiftl & necessary control: <br /> 5 . TOTLET/BATH FACILITES <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. PRFVInRS 4PFsRATToN HISTORY <br /> 7 . GENERAL SAITTIATTON <br /> State any problems not previously noted : <br /> 8 . BOPULATInN Dr^y STT" <br /> Appx. No. People per eq. mi . <br />