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 /> Des ri e se c inst 1 ati n to be Ja�ll <br /> nsted• <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No__4 Is w 11 proper: . <br /> Yes No State d.oficiency : ,l ' <br /> rte•>l ��' / �,��r✓ ;;""*,0,/ z.2��'�.��� etad��,C��f �� o:�•rrr .f <br /> v� E J�/�F�cffc ��E,la d�1'4 `9l%�6 i✓y`,GE,!/��7i�✓T.4/���E ice / <br /> Does existing or purposed use make this well pu lic water: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Res It Additional Information or coniItterltG �e�fo�, <br /> 3 . GARBAGE & REFUSE <br /> . Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FIL,_ O� SQUITO OR Y Z ' i'r jAL <br /> State possibly: vector potential & necessary control : /1'�'�_- <br /> 5 . TQILET/BATH FAa=,M <br /> No. & location existing: Additional <br /> facilities needed _- <br /> 6 . PREVIOUIS OPERATION H= - <br /> 7 . GENERAL SANITAMM <br /> State any problems not previously noted- - <br /> 8 . <br /> ated: -8 . POPULATIQ14 DENSITY d ,P{! iDE <br /> Appx. No. People per sq. mi . ��.�"i�'cC���•�— <br /> �000 � <br />