Laserfiche WebLink
1• jL'WAGE s . <br /> Distance to i'ublic Sewers <br /> Does existing <br /> if septic system com 1 Connection necessary: res <br /> explain- P Y �zth Ord. d�r,g: res No Unkn <br /> f- -W S ~_ <br /> Describe septi Installation s �� ���� <br /> be installed: <br /> Additional information � <br /> or comments: <br /> 2. WATER SUrFLY <br /> Xs water SUPPlied by <br /> Y private well: Yes <br /> w y: r , f;o ~ Is well proper: Yes t!o <br /> -� <br /> Doss existing or <br /> Proposed use make this well <br /> Sample °F well water taken: Public water: <br /> Yes t!o Yes ~ ufo <br /> Additional -- — Date Taken ~ <br /> information or comments: --��-. Results <br /> 3. GARBAGE & REFUSE / 41(c ria �r G l r� <br /> Licensed rtpp <br /> scavenger, pick-up: yes <br /> Other Proposed disposal method: � <br /> NO ~ Service Area No. <br /> Potential problem: <br /> �. FLY MUSQUIMU OR. V'ECMR !•0 <br /> Statossibe TF�+i TIAL <br /> Ie vector potential & necessary control: <br /> r <br /> 5. Ari POLLUTIQ;r t'a MALState possible bil-r <br /> Hing or processing pollutants & necessary control: <br /> 6• IUILET BATH �'4V <br /> A CI LI TIES <br /> 14 <br /> 0 <br /> - & Inca tion exi ,Liirg; <br /> ?• r'f vIUUSAddi tianal tacit i ties ileedea <br /> �I <br /> b• GENERAL S A K I TA TIO I! <br /> State any problems not <br /> 9. POPULATION W�NSITY <br /> -____� <br /> ppx. ado . People per :;q. r�,z . <br />