Laserfiche WebLink
7 <br /> 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 . WATER SUPPLY <br /> Is water supplied by private well : Yes �_ = No Is well proper: <br /> Yes_4,--96State 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 /> ,f <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . FI,YMOSQUITO OR VZ^TQ ZCi'rT <br /> State possible vector potential & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No. & location existing: __ Additional <br /> facilities needed _ <br /> 6 . PREVIOUS OPERATION HISTORY LL <br /> 1i l Al -E' '.. .fir' r 4. ?;�� v eJ •�F° �__e <br /> 7 . QEN RAL SAIJIT,A`,L',ION <br /> State any problem: not previously noted : _ <br /> 8 . EOPULATIO14 DENSITY <br /> Appx. No . People per sq. mi . <br /> 0 IsO�, <br />