Laserfiche WebLink
1 . SEWAGF <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 . MATER SUPPLY <br /> Is water supplied by private well : Yes coo Is well proper: <br /> Yes No State deficiency : <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 information or comments <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential problem - <br /> 4 . <br /> roblem:4 . FILY,L MOSQUITO OR V z^.TO zgr T <br /> State possible vector potentiftl & necessary control : <br /> 5 . TOI , .T/BATA FACTLITES <br /> No. & location existing: Additional <br /> facilities needed _ <br /> 6 . PRE,yInila npEgATIoN HIsTngy <br /> 7 . GENERAL SANI'r,AMOl <br /> State any problems not previously noted :- <br /> 8 . <br /> oted :8 . POPULATION DENSTly <br /> Appx . No . People per rq. r;,i . <br />