Laserfiche WebLink
�- <br /> 1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes4 No_ <br /> Does existing septic system comply with Ord . 16549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to 'be installed: <br /> 2 . WATER SUPPLY .���Cs�} r C. �/ �►� <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: Yes <br /> No­ Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> . SiBSa EtF F[i SF a` f �/ S T P�.i•, <br /> Licensed scavenger pick-up: Yes No Service Area Ito. <br /> Other proposed disposal method: 1! <br /> Potential problem: <br /> 4 . FLY. MO3QUITQ._0F VVEQTnR POTENTIAL <br /> State possible vector potentiftl F.c necessary control: <br /> 5 . TOTLrT/BATH FACILITES <br /> No . & locution existing: Additional <br /> facilities needed <br /> 6 . PREVIOUS f%P RAT Q!j HTSIORX <br /> J V ' <br /> ---•. <br /> 7 . GENERAL SAN IATTON <br /> State any problems not previously no�c T <br /> $ . POPULATIQtj D ^T T Y <br /> Appx. No. People per sq. mi. <br />