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(2) <br /> i. SEWAGE <br /> Distance to i'ublic Sewers Connection necessary: Yes _ No _ <br /> Does existing septic system comply with Ord. 4549: Yes No Unknown <br /> It ho, 'explain _ _ <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Iq 'water supplied by private well: Yes Ito Is well proper: Yes No <br /> S;t4te 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 & REk`USE <br /> Licensed scavenger pick-up: Yes _ No _ Service Area No. <br /> Other proposed disposal method : <br /> Fotential problem: <br /> 4. FLY, MOSQUITO OR VECTOR 1 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 <br /> No. & location existing: Additional facilities needed <br /> 7. i'hEVIOUS Ol,LnATIOIJ HIs`iuji Y <br /> 8. GENERAL SAWITATION <br /> State any problems not previously no-,,J : <br /> 9. POPULATION DENSITY <br /> Appx, No. People per sq. mi. <br />