Laserfiche WebLink
M <br /> 1 . S KW&rag . <br /> Distance to Public Sewers Connection necessary: Yes No— <br /> Does existing septic system comply with Ord'. 0549 : Yes No,_.,,, � <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . WATEa SUPPLY <br /> Is wat supplied. by private well : Yes 4!:: No Is well proper: <br /> Yes✓ No S4atr ddefyciwncy <br /> Does existing or porposed use make this well public dater: Yes <br /> No sample of well water taken: Yes No Date taken. <br /> Results Additional information or comments <br /> SCJ „A " s <br /> .� r e e <br /> 3 . <br /> Licenced scavenger pick-up: Yes No Service Krea <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MnSQUITQ QR VECTOR PQT- £, <br /> 5NTIA <br /> State possible vector potentiztl & necessary control:_:-- - <br /> 5 , O C <br /> No. & location existing: --�� Additional <br /> facilities needed <br /> s. BREY1025 OURATION HISTORX . <br /> Z) JL le—Kele-15 r <br /> 7 . GFNRRAT& SANITATZQkt <br /> State any problems not previously noted: <br /> g . EQPULAI QH DEMETIX <br /> Apps. No . People per sq. mi. —� <br />