Laserfiche WebLink
1 . SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord . #549 : Yes No_ <br /> Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2 . WATER SUPPLY <br /> Is wa er supplied by private well : Yes f No Is well proper: <br /> Yes No State deficiency:'�•,• -.� ��/,��s5 ,, , vZe V'0_ 1A)4_Q� <br /> (fir��,'�('�� �SU iv.e U,,�2s� `�.k i S G b-, i:-.o(�.-CJ na �- ✓l�-(` <br /> ay <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 /> 3 . GARBAGE & REFUSE <br /> . Licensed scavenger pick-up: Yes No Service Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLYL MOSQUITO OR Y CTOMr=, AL <br /> State possible vector potential & necessary control : <br /> 5 . TOILETIBATH FACILITES <br /> No. & location existing : Additional <br /> facilities needed �. <br /> 6 . PREVIOUS OPERATION HIET_QRY <br /> 7 . GENERAL SANITA`I'70N <br /> State any problems not previously noted: _ <br /> 3 . PQPULATIQH Mi= <br /> Appx. No. People per sq. mi . <br />