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1 . SNAGS <br /> 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 . HATER SOPPL'f <br /> Is water 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: 'les <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 . FLY . MOSAUTTO OR VE^.TOR PO'rENTTAL <br /> State possible vector potentiril & necessary control: <br /> 5 . TOTL .T/BATH FACI 1,I ,F.S <br /> No. & location existing: Additional <br /> facilities needed - <br /> 6 . PREVIOUS OPRRAT ON HTRTORY <br /> 7 . GENERAL SANTIATTON <br /> State any problems not Previously noted: <br /> S . POPULATTON DFNSTTY <br /> Appx. No . People per eq. mi . <br />