Laserfiche WebLink
(2) <br /> 1. SEWAUE <br /> Distance to Public Sewers �Z Connection necessary: Yes No <br /> Does existing septic system comply with Ord. X1;49: Yes No Unknown <br /> If no, ezplain:� — - <br /> Describe septic installation to be installed: <br /> 0 <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> I 'vatet`supplied .by private well: Yes 110 Is well proper: Yes No <br /> S,t$te deficiency: eC/ <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: ��^u/i Use fro /I rUy� w <br /> 3. GARBAGE & RFU SE <br /> Licensed scavenger pick-up: Yes No k Service Area No. <br /> Other proposed disposal method: <br /> Potential.problem: <br /> 4. FLY;, MOSQUITO OR VECTOR I-OTENTIAL <br /> State possible vector potential & necessary control: <br /> $. AIR POLLUTION POTEUTIAL e�� <br /> State possible burning or processing pollutants necessary control: /vd <br /> / <br /> 422 Q <br /> 6. TOILET/BATH FACII+I <br /> No. & location existing: l�Ue_ Additional facilities needed f� vtSe <br /> 7. ?FEEVIOUS 01'ZhATIO14 HIS//TUY <br /> 67 <br /> 8. GE14MUL SANITATION <br /> State any problems not previously no;...J : <br /> T <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. n,i. L <br />