Laserfiche WebLink
i <br /> 1• S� Connection necessary= Yes No <br /> Distance to Public Sewers �.— <br /> Does exiatina Septic , ystem comply with Ord. 0548 : Yes No— <br /> Unknown If no, .ex, in- <br /> AIM <br /> Describe septic installation to 'be installed: <br /> 2. WATER 50PPLYIs well proper: <br /> Is Hater supplied. b7 private well: Yes ' <br /> Yes NoState deficiency: <br /> Doe xisting or porposed use make this crell public Water: Yes- <br /> No Sample oAdditionalwater <br /> informmtionYes- <br /> or comments <br /> No- <br /> Date taken <br /> mentB ._ <br /> Results_^___..,_. <br /> 3 . <br /> Licensed scavenger pick-up: Yes No Service Area No._. <br /> Other proposed disposal. method: <br /> Potential problem: <br /> 4. TQTQR POTENTIAL <br /> State possible vector pvtentiftl necessary control: <br /> D r5 . Additional <br /> No. & location existing: <br /> facilities needed_______ <br /> g. PRRVTnCTS—OPERATIO n <br /> I <br /> 7 . GESERAT, 5ANIT61102 <br /> State any problems not previously noted: <br /> s . BOPULATIQU DENSTTv <br /> Appx, No. People per .sq• mi• <br /> a <br /> a <br />