Laserfiche WebLink
1 . SEWAGE <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 : es No Islwell proper: <br /> Yes'- No - State deficiency : <br /> T/'o.ot e -4,4�,,q' J�,'c- .:'i ...2 .✓' _ ! . ,,/ �/ <br /> Does existing or porposed use make this well public water: Yes <br /> No—Z._ Sample of well water taken: Yes No , Da t e t;A kern <br /> Results Additional <br /> /information or comments.a <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . =�,_ MOSQUITO ,OR V E^TO PS'fLVjJd;.L <br /> State possible vector potentiFtl & necessary corAtrol: �� <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing: Additional <br /> facilities needed _ <br /> 6 . PRFVIODS QPERATIIQ14 J,::1'(�FY <br /> 7 . GENERAL SAPIIT `1.�r1 <br /> State any problems not previously noted : <br /> 3 . E ' 1LATION DE i `'T " <br /> Appx. No . People per sq . r;,i <br />