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(2) <br />Distance to Public Sewers yrzy-1 Connection necessary: Yes No k <br />Does existing septic system comply with Ord. #549: Yes _ No _ Unknown <br />If no, explain: <br />Describe septic installation /to be installed: <br />e IVtd44 G( � <br />2 <br />Additionai information or comments: <br />2. WATER SUPPLY <br />Is water supplied by private well: Yes 1 No _ Is well proper: Yes _ No <br />State deficiency: <br />Does existing or proposed use make this well public water: Yes _ No L <br />Sample of well water taken: Yes No _ Date Taken Results _ <br />Additional information or comments: -Tf Wi vt,&,-/ A -i vale- 6ve-0 Our —9ae-4 <br />3• GARBAGE & REFUSE <br />Licensed scavenger pick-up: Yes �--No _ Service Area No <br />4. <br />Other proposed disposal method: <br />Potential problem: <br />FLY, MOSQUITO OR VECTOR POTENTIAL <br />State possible vector potential & necessary control: <br />5. AIR POLLUTION POTENTIAL <br />State possible burning or processing pollutants & necessary control: <br />6. TOILET/BATH FACILITIES e <br />No. & location existing: ftOV, r eaeX Additional facilities needed <br />7 <br />6. GE14ERAL SANITATION <br />State any problems not previously noted: <br />C <br />9. POPULATION DENSITY <br />Appx. No. People per sq. mi. /f77y <br />