Laserfiche WebLink
I <br /> .r, J''y .yri[ i✓1y� 6 ]S �r4�/ r--_ <br /> SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_,_,. <br /> Does existing septic system comply with Ord. V549 : Yes No.,.._. <br /> Unknown____ If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2. WATER SUPPLI <br /> Is ua r supplied. b.i private well: <br /> Yes �No is well Proper: <br /> Yes2NoState clef 4.ciency: <br /> Does existing or porposed use make this S;e1j.1 public Water: Yes- <br /> No Sample of Well water taken: Yes No Date taken ,. / <br /> Results Additional information or comments .-1 S d <br /> 3 . GARBAGE & REFUSE 64-,� <br /> Licensed scavenger pick-up: Yes No Service Area No.. <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY, MQ5QUjTQ OR VECTOR <br /> ECITENTIAL <br /> State possible vector potential u necessary control. <br /> 5. TQUETZE ,TH FACTLITEa. <br /> No. & location existing: Additional <br /> facilities needed <br /> 6. PR,Eyr_Ons QFRRATTON HISTORY <br /> 't2222 ' <br /> or <br /> 7. GEN,ERAT, $aNTTATTON <br /> State any problems not previously noted: <br /> a . Pn ULAT ON DEH511X <br /> Appx. No . People per eq. mi. <br />