Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes Nom <br /> Does existing septic system comply with Ord. 0549 : Yes No_ <br /> Unknown If no, explain: <br /> /-�t o N P <br /> Describe septic installation to be installed: <br /> �ff o <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yesio Is well proper: <br /> Yes No State deficiency : <br /> Does existing or porposed use make this well public water: Yes <br /> No__'<_ Semple 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 . =_ MOSQUITQ ORy ^TMS Mi'j'rUTl_AL <br /> State possible vector potentiitl & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No. & location existing : /`� / Additional <br /> facilities neraded _ <br /> 6 . pggVTona npEgATToN H1STnx <br /> 7 . GEN '-RAL SA111!ATJ_(_) <br /> State any problems tient previously noted:- <br /> 8 . <br /> oted:-8 . FLEMATION LSE idST11 <br /> Appx. No . People per rq . mi . <br />