Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary : Yes No_ <br /> Does existing septic system comply with Ord . 41549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2. MATER SUPPLY <br /> Is water supplied by private well : Yes No Is viell proper: <br /> Yes No State deficiency: <br /> Does existing or porposed use make th.ia well public water: Yes <br /> Na Sample of well water tarsen: Yes No Date taken <br /> Results Additional information or comments <br /> 3 . GARBAGE & REFUSR <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FULL MOSQUITQ OR V I^TQ ZC)M TIAL <br /> State- possible vector potentiftl & necessary control : <br /> 5 . T01LET/BATH FACILITES <br /> No. & location existing: _ Additional <br /> facilities needed <br /> 6 . PR .VTOU5 OPERATION -HISTORY <br /> 7 . GENERAL SAILUA`1'ION <br /> State any problems not previously noted: _ <br /> 8 . POPULATION DENSITY <br /> Appx. No . People per sq. mi . <br />