Laserfiche WebLink
I <br /> 1 SEWAGE <br /> Distance to Public Sewers » Connection necessary : Yes Nam <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no , explain: <br /> /�/,s��,�'7/d4/(�.. i..l �/r✓f� ``�✓/�'. r.'1; ./f�`e C .T�J/�'�l �•e�r-,!''T"6Fi ��E2 7lR.,q,� <br /> De cr be sept installation to 'be installed: ,* <br /> � � <br /> r <br /> 2 . WATER SUPPL,`i <br /> Is water supplied by private weil : Yes -4�Ktia Is well proper: <br /> Yes / No State deficiency : _ <br /> Does existing or porposed use make this well public water : Yes <br /> No= Sample of well water taken: Yes No / D:xtFken <br /> Results Additional information or comment's ��'� J•df. �•, <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Sery ce ea..No. <br /> Other proposed disposa rrI thod: ad1E dam' �' <br /> Potential problFi,: <br /> 4 . FL M0;GJ U IT 0 02 VE1:T�? PSS M T ALL <br /> State possible vector potentiFtl & riece-scary control- <br /> 5 . TIILET/BATH FACILITES <br /> No . & location existing: _ Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION <br /> 7 . S BAL SANTTATT ON <br /> State any problems not noted.- <br /> 8 . <br /> oted:8 . PQPULATIQN DE=1 <br /> Appx . No . People per sq. r,,i . <br />