Laserfiche WebLink
1. SEWAGE ( 2) <br /> Distance to Public Sewers wAQ.6 Connection necessary: Yes No <br /> Does existing septic system comply with Ord. #549: Yes — No a Unknown <br /> If no, explain: — <br /> Describe septic installation to be installed: <br /> Additional information or comments:* <br /> t� lriL6M1.n w n,Ln � • �, t- <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes _ No Is well :roper: Yes No <br /> State deficiency: ✓0 `i JU <br /> Does existing; or proposed use male this well public water: Yes 1/ No _ <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: Z?t.- <br /> 3. GARBAGE &, R.En SE <br /> Licensed scavenger pick-up: Yes — No Service Area No. <br /> Other proposed disposal me=thod: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR PO .". MAL <br /> 0 <br /> State possible v/eecct,owr- potential & necessary control: <br /> 5. AIR POLLJTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> r � <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed _ <br /> 7. PREVIOUS OPERATION HISTORY <br /> 6. GENERAL SAN-ITATIO14 <br /> State any problems not previo, aly noted: <br /> 9. POPULATION DENSITY <br /> Appx. No. People per so. • J <br /> JH Q6 06 3/71 <br /> 4/74 750 <br /> i <br />