Laserfiche WebLink
1 . SEWAGE ;> <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . 41549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No Is viell proper: <br /> Yes No State deficiency: <br /> �1�� GU//� l�' ,fie ����',��'.��.,,�• S�� irl'�y/��1� ��'yaw�rr� �iU�,� ���,�/�,-� <br /> Does existing or porposed use make this well public water: Yes <br /> No Sample of well water taken: Yes No Date taken <br /> Results _ Additional informationorcomments <br /> aU /'Y.1� SFX IJ7>nl �i(ll IL '/J ",/?21c0 4S4--L_41- &4'vell <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4 . PLgL MOSQUITO OR VE^TO EC)MI TIA.'" <br /> State possible vector potentiFtl & necessary control : <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing : _ Additional <br /> facilities needed _ <br /> 6 . PREVIOna OPERATION HI STOP ; <br /> 7 . GENERAL SA1Ljj ' .ON <br /> State any problems not previously noted:- <br /> 8 . <br /> oted:-8 . POPULATION DENSITY <br /> Appx. No . People per oq . mi. <br /> bra D�� l/-S ' 1 C ��rv� �� ��r✓ � r`; f- S ila/,' <br /> 9izt /1,�S�1-i 1e 74e '��n��Gu/vt_ ?'�/c� L <br />