Laserfiche WebLink
J, <br /> SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes No�L <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 w er supplied b,� private ;cell : Yes No Is well proper: <br /> Yes J No State deficiency : <br /> Doe existing or porposed use make thiti well public water: Yes <br /> No -Sample of well water tarsen: Yes No/ Date taken <br /> Results Additional information or comrr,ents <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: �-' r 3� <br /> 4. FAL MOSQ ITQ QE V17-T EC)M ITAIL <br /> State possible vector potentiftl & necessary control : <br /> 5 , TQTET/.EATHFACI ,r 'F, <br /> No. & location existing: �' � Additional <br /> facilities needed <br /> 6 . PREVTona npEg.ATI014 HISTn ; <br /> 7 . ORN RAL SANITATJ-0N <br /> State any problems dot previously noted: <br /> _ N <br /> 3 . P- EILATI014 DEtI,,TTY <br /> Appx. No . People per cq . mi . vv <br />