Laserfiche WebLink
s, 4ff 'W 5yf� /",Vol 1 f5. <br /> 1 . SES <br /> Distance to Public Sewers _�LIL-L_ Connection necessary: Yes No� <br /> Does existing beptic system comply with Ord. 31549 : Yes_ No_ <br /> Unknown If no,/explain: <br /> Describe septic installation to 'be installed: <br /> Mob,�e av, <br /> 2. WATER SUPPLY <br /> Is water suppliedby private well: Yes <7 No Is well proper: <br /> Yes2<— No State deficiency:_r I-54- Dd6w-eszL�� ajeZZ 15 /'? X44 reL e'- .. <br /> My/k-�dJ e �avP G� i1✓�Uk�Ci (�X <br /> Doe existing or porposed use make this well public water: Yes <br /> NoSample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method- <br /> Potential problem: e <br /> 4. FLI MQSQUITO OA VMMIECU MIAL <br /> State possible vector potential & necessary control: <br /> 2��s--- <br /> 5 . TQT . .T/BATH FACILITES <br /> No. ec location existing — Additional <br /> facilities needed <br /> 6 . PREVTQT72 OPE_RATION HISTORY- <br /> 7 . <br /> I TO - <br /> 7 . GENERAL SANITATION <br /> State any problems not previously noted: <br /> 9 . POPULATIO14 DENSITY <br /> Appx. No. People per sq. mi. /*/14 <br />