Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers �,`"'Connection necessary: Yes No_ <br /> Does existing septic syste comply with Ord. #549 : Yes No_ <br /> Unknown If no, expla <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 crater: Yes <br /> No Sample of well water /wken: Yes No Date taken <br /> Results Additional �Aformation or comments <br /> 3 . GARBAGE & REFUSE <br /> Licenced scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem- <br /> 4. <br /> roblem:4. ELY. MOSQUTTO OR VECTOR PSS' ENTIAL <br /> State possible vector potential & necessary control: <br /> �f- <br /> 5 . TOILET/BATH FACTLSTES <br /> No . & location existing: Additional <br /> facilities needed <br /> 6. PREyTona CPLRATION HTslnRY <br /> — �c,-�-«� � f r `' ,✓ j :' , s��'• . s� ��3 GAG-' j;G��,�. <br /> 7 . GENERAL SANI'ATTON <br /> State any problems not previously note S <br /> 3 . MPULATTON DENSITY <br /> Appx. No . People per sq. mi . <br />