Laserfiche WebLink
1. SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes _ No <br /> Does_ existing septic system coy with Ord. 4549: Yes No Unknown <br /> If no,_explain: '. _ <br /> Describe septic installation to be installed: �141all 4 <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Iq 'water supplied by private well: Yes W _ Is well proper: Yes No <br /> S..tEtte deficiency: —r- <br /> Does existing or proposed use make this well public water: Yes No /tu <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE / <br /> Licensed scavenger pick-up: Yes _/ ho Service Area No. <br /> Other proposed disposal method : <br /> Potential problem: e 47Y �' ` l ye, <br /> L. FLY, MOSQUITO OR VEE R IOTENTIAL <br /> State ssible vecto�rl poten ial & necessa y contr 1: <br /> AIR PO LLU TION PO TEI I TI A L <br /> State possible burning or processing pollutants & necessary control: ILWl"'' <br /> 6. 1UILET/EATH FACILITIES <br /> No. & location existing: n��� Additional facilities needed <br /> 7. i'1tEVIOUS Ul'i:itATION HISSIfU <br /> 8. GENERAL SAI,ITATION <br /> State any problems not previously no:�J: 11100 <br /> 9. POPULATION DENSITY <br /> Appx. No. ?eople per sq. mi. r ,/ <br />