Laserfiche WebLink
r <br /> 2 . <br /> 1. jEWAGE � <br /> Distance to i'ublic Sewers Connection necessary: ,es _ No _ <br /> Does existing septic system comply with Ord . t� u9: Yes „/No _ Unknown _ <br /> If no, explain: <br /> Describe septic installation -to be installed: <br /> Additional information or co.rrunents: <br /> 2. WATER SU?PLY <br /> Is water supplied by private well: Yes ---1+0 _ Is well proper: Yes Pdo _ <br /> State deficiency: <br /> Does existing or proposed use make this well public water:. Yes _ No <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE & HEFU SE <br /> Licensed scavenger pick-up: Yes _✓No Service Area No. <br /> Other proposed disposal method : <br /> Fotential problem: ov'� <br /> !�. FLY, 1"I6SQUITO OR VECTOR I-OTENTIAL <br /> State possible vector potential & necessary control: <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. 'I)ILET/BATH FACILITIES <br /> Pao. & location existing: Additional facilities needed <br /> 7. i'kiV�IOUS 01 LitATION HIS'MRY <br /> /n <br /> UL Q t' <br /> �S. GENERAL SANITATIO14 <br /> State any problems not previously no u: d : <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. (� <br />