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Distance to Public Sewers . Connection necessary: Yes No <br /> Does existing septic system comply with Ord. #549 : Yes No— <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2. WAIER SITPET-1 <br /> Is Hater supplied, by private Well : Yes No 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 /> ResultsAdditional information or comments <br /> 3 . GARAGE & RAF <br /> Licensed scavenger pick-up: Yes No Service Area No.� <br /> Other proposed disposal method: <br /> Potential problem.. <br /> 4. ELL MOSQUITQ'_OR_yT'�^Tt?R POTEINT1AL <br /> State possible vector potential & necessary control: <br /> 5 . MILETIBATH RACILTIES <br /> No. ek location existing: Additional <br /> facilities needed <br /> s. 2HE2jQa5 OFERATTON HISTORX <br /> 7 . GENERAL SANTIATTON <br /> State any problems not previously noted: <br /> $ . P,OnULATION DEYSIT_Y <br /> Apex. No . People per sq. mi. <br />