Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yeses _ No_ <br /> Unknown If no, explain: <br /> Descr be eptic �nsta�llation be installed: <br /> 07 .o ,y r`r,�� '�"�C .405­ <br /> 2 . <br /> tee!2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is Vrell proper: <br /> Yes No-.4 State def iciency : ��" -�`;/ ��%, ;7' <br /> r <br /> Does existing or porposed use make this wellptlie water: Yes <br /> No— Sample of well water taken: Yes Not 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- <br /> 4 . <br /> roblem:4 . MOSQ I TQ OR VECTO EC)r IATL <br /> State possible vector potentiftl & necessary control : <br /> 5 . TO LETS ATH FACILITES <br /> No . & location existing : />r Additional <br /> facilities needed _ <br /> 6 . PRFVTOUS QPLRATION HTSTOr <br /> 7 . GENERAL SANI'r `lA JO <br /> State any problems not previously noted : <br /> 8 . POPULATION People <br /> Dr i�! <br /> P �/;,����-G�d�f- .�'iF,J'i�J�.��•�9•G' <br /> Appx. No . eople per rq . rr,i . <br />