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1. SEWAGE: <br /> Distance to Public Sewers: AVi�- Connection necessary: Yes No <br /> Does existing septic' system comply with San Joaquin County Development Title #549 ? <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: N0P - 4/D3 nd� <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes Ar/ No Is well proper: Yes V No <br /> State deficiency: <br /> Is well system a Public Water system? Yes No Is the permit current? Yes ->,' No <br /> Does existing or proposed use make th1 elhPublic ater: Yes No Is water/well <br /> sampling current: yes No A,diff 1 information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No V 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: ,�o�u17 -l�ss.L3c� �osper Ep-�1 <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: iv �F*e,i_rr-y Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> oc.ry& r"�2ay�ss�w� <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: 11/0 <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />