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1. SEWAGE: <br /> Distance to Public Sewers: r Connection necessary: Yes <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? <br /> Yes No Unknown If no, explain: <br /> De eptic ins alfa"on to be inst - � e <br /> i j S r- r <br /> l <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No Is well proper: Yes No <br /> State-drficiency: P <br /> ,{ e. <br /> Is well ystem a ublic Wat&system? Yes No Is the permit current? Yes No <br /> Does existing or proposed use make this well Public Water: Yes No Is water/well <br /> samphurrent: yes No Additional information or comments: 1� P!/��.�v,->i 7 <br /> F. <br /> o v l <br /> 1-4,,t)0 2) ST 6 C_ <br /> IV <br /> 3. GARBAGE FUSE: <br /> Licensed scavenger pick-up: Yeses_No Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> t A,t �� ►fir_ `i ,r.� '� <br /> 7. GENERAL SANITATION: <br /> St r ms not previously n�d;-,� v <br /> 8. POPULATION DE4SITY: L--fJ s o � <br /> Approximate number of people per square mile: <br /> lee <br /> 17-5 <br /> - -- <br />