Laserfiche WebLink
l. SEWAGE f/44 ° �Ih- of La la U. <br /> (21 <br /> Distance to Public Sewers �� Connection necessary: //Yes U,--'�No _ <br /> Does existing septic system comply with Ord. #549: YesN0aQ10 Unknown �t <br /> If no, explain: <br /> Describe sep is installation to be installed: PC <br /> 5ed <br /> 5011 �a I 20 v ,1 hG a,4 S <br /> Add' ional information or comm nts: <br /> 1 C- <br /> 2. WATER SqJPPLY <br /> C <br /> Is water supplied by private well: Ye _ No Is well proper: Yes No <br /> State deficiency: <br /> Does existing or proposed use make this weld public water: Yes No <br /> Sample of well water taken: Yes _ No _7 Date Taken Results <br /> Additional inform tion)or comments: /*/ l�Ull G wa*r S` 5 YY/ / n <br /> 3. GARBAGE & REFUSE I ' 0. e r Co/I tw -f p �()') co_ <br /> Licensed scavenger pick-up: Yes _ No _ Service Area No. C o Lo <br /> ✓ S D s <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: /v <br /> 6. 20 ILET/BATH FACILITIES <br /> No. & location existing: lyfo ry- Additional facilities needed <br /> 7. PREVIOUS OPERATION HISTORY <br /> a( i2a +u rl- <br /> GE14ERAL SANITATION f- <br /> State any problems not previously noted: e C-O k444V-e,4jd, A00 u <br /> c,(,4-,4,- Z —L <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br /> 1 'u' t`ej 1� a r t16 i A `o W( ✓1 f-ur <br /> "4 <br />