Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yes No_, <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2 . DATER SUPPLY <br /> Is water supplied by private well : Yes No 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 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 . EllMOSQUITO OR V E^.TO PS)'I'TINTIAL <br /> State possible vector potentiftl & necessary control: <br /> 5 . TOILET/BATH FACILITIS <br /> No. & location existing: _ Additional <br /> facilities needed _ <br /> 6 . PRF`VIOQ2 OPER,ATT014 HISTOF;Y <br /> 7 . EN RA , aA1[ITA'1'ION <br /> State any problems riot previously noted:- <br /> 3 . <br /> oted:_8 . POPULATIO14 DENSTIY <br /> Appx. No . People per sq. mi . <br />