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2 . <br /> (nof ct urlabfCJ <br /> SEWAGE <br /> Distance to Public Sewers >50-0, <br /> Connection necessary : Yes_ Nom <br /> Does existing septic system comply with Ord . #549 : Yes_ No,X,- <br /> Unknown If no, explain: 1 <br /> �J --eKrs�7��v=i�77c S <br /> Describe septic installation to bp installed: <br /> y 7� C-.n ` -o o Rc, nU /C.i�° ��+�Z. wt'�'�, l2 /ca �r,4 <br /> 2 . WATER SUPPLY <br /> Is water euRlied b:i private well : Yes No—'Is well proper: <br /> Yes_ No --/ State deficiency : <br /> Does existing or porposed use make this well pu,,4hic water: 'les <br /> No Sample of well water taken: Yes_ No_ Date taken <br /> Results Additional information or comments <br /> ttiE J werl w 11 �e �ti 6/rc �✓a��. -C <br /> 3 . 74ARBAliF, <br /> 7Tn <br /> License er pick-up: Yes_ NoServi rea No . <br /> Other prisposal method:Potentiam: <br /> 4, Yr,:-,TOR . QTRNTTAT, <br /> State possible lkctor potentiril & n eseary control : <br /> 5 . TOTLFT/BATH FACILITES <br /> No . & location existinAdditional <br /> facilities needed <br /> 6 . OfT C S f1 <br /> 7 . GENFRA SANITATION <br /> Stat any problems not previouzly noted: <br /> S . PnPULATION DENSTTY <br /> Appx . No. People per eq. mi . <br />