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Distance to Publ"ic" Sewers Connection necessary: Yes No­�� <br /> Does existing septic system comply with Ord;. #549 : Yes 7"No_ <br /> Unknown If no, explain: 7.7-V77 �P3-13vo <br /> ICt �j Pr-/;,s 7 <br /> 9Y-3f z. ' <br /> Describe septic installation to 'be installed: S's- � <br /> fl <br /> N <br /> 2. WATER SUPPLY <br /> Is water supplied by private well: Yes Nol' Is well proper: <br /> Yee ✓ No State deficiency: �I <br /> Does existing)or porposed use make this well ptibl c water: Yes <br /> No E of well water token: Yes No Date taken <br /> Results Additional information or comments <br /> Q v a �wa[l C ayvc u.n <br /> 3 . GARBAGE' Re 6EFuSE •g.- 6(4lc �� <br /> Licensed scavenger pick--up: Yes �o Service Area No. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. . . ELX. IffC)SOUITtJ OR VEC-TOR _POTEMTTAT, <br /> State possible vector potential $4 necessary control: <br /> 5 . T!21LE,T/BATH CACTLITES <br /> No. & location existing: i Additional <br /> facilities needed <br /> I <br /> S. PREVIMS OPERA LOQ HISTOM <br /> I� <br /> i <br /> 7 . !a NERAL ,SAIII181T.Q <br /> State any problems not previously noted: � <br /> S . PQBQLATIQH I ENZ-TTj1 <br /> Appx. No. People per .sq. mi. <br /> F <br />