Laserfiche WebLink
1. SEWAGE (2) <br /> Distance to Public Sewers4-2—M' Connection necessary: Yes _ No <br /> Does existing septic system comply with Ord . #549: Yes No Unknown _ ,` n <br /> If no, explain: — — Ivan <br /> JJO clyI � <br /> Describe septic installation to be install ^Ih � <br /> Additional information or comments: <br /> 2. WATER SUPPLY (� W6LA4 6 <br /> Is water supplied by private well: �es x NoIs well 'proper: Yes _ I10 <br /> State deficiency: <br /> Does existing or proposed use make this well public water: Y _ No _ <br /> Sample of well water taken: Yes _ No ate Taken <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes �o _ Service Area No. 4^ 1 <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR: VECTOR I-OTENTIAL <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 II ^ � <br /> Ilio. & location existing: N Iv Additional facilities needed <br /> 7. ?REVIOUS UPLHATION HISTORY <br /> 8. GENERAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />