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(2) <br /> i. SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes _ No <br /> Does existing septic system comply with Ord. #549: Yes No Unknown <br /> If no, -explain:' -�_ — — — <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> lq 'water supplied by private well: Yes No Is well proper: Yes No <br /> S..-Oe 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 & REFUSE <br /> Licensed-scavenge I r pick-up: Yes _ No _ Service Area No. <br /> Other proposed disposal method : <br /> Potential problem: <br /> !i. FLY, MOSQUITO OR VECTOR I-0TENTIAL <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 <br /> No. & location existing: Additional facilities needed <br /> 7. ?REVIOUS 01,LhATIOI4 HISTORY <br /> 8. GENT.RAL SANITATION <br /> State any problems not previously no,LL J : <br /> 9.' POPULATION DENSITY <br /> Appx, No. People per sq. mi. <br />