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(2) <br /> Distance to "ublio Sewers <br /> Dose exie 1 Connection neceaeat�r: Yes' No <br /> If F septlo gst 14 oo�-uith Ord. 649: res No Unk�;n <br /> Ueacribe stlptic installation to be installed: <br /> Additional intormtion or comments: <br /> 2- NATER SUPFLY <br /> 10 'water aupplied..blr private well: Yes ` Ho Iewall pamper: Yea NOS,4" deficiency: <br /> Does exiat_ing or proposed use Rake this well public water: Yea _ No <br /> Sample of well water taken: Yrs _ No ate Taken _ Results~ <br /> Additional information or comments: <br /> 3. GARBAGE k Rf:FUSE <br /> Licensed acavenger pick-up: Yes _ No 'Service Area No. <br /> Other proposed disposal method: <br /> Fotential problem: <br /> 4• FLT, MOSQUITO OR VECTOR EOUNTIAL <br /> State possible vector potential & necessary control: <br /> S. AIR VOLLUTIGf'07G11�'IA1, t <br /> .)Late possiu_e burning or process11116 l,ulluLanLs b necessary control: <br /> 6- 1UILET/HATH FACILITIES <br /> ho. & location existing: Additional facilitles needed <br /> 7. 'ftc;Vl U;; <br /> - f <br /> 10001 <br /> b. GENERAL SA1%iiATIU1J <br /> :.i La Lu arty Koblems ew L ,rcv jou:,ly <br /> POPULATION DENSITY <br /> Appx. i4O. Feople per sq. mi . <br />