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(2) <br /> i. SEWAGE <br /> Distance to Public Sewers ­71Connection necessary: Yes — No _ <br /> Does existing septic system comply with Ord. #519: Yes _ No _ Unknown <br /> If no, explain: <br /> Describe septic installation to be installed: "I � .Q <br /> r— <br /> 7 <br /> Additional information or comments: <br /> 2. WATER SUPPLY _A <br /> No water supplied by private well: Yes ✓ No _ Is well proper: Yes No <br /> State deficiency: <br /> Does existing or proposed use make this well public water: Yes _ No. <br /> Sample of well water taken: Yes _ No _ Date Taken Results <br /> 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. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary. control: �L*W <br /> 61 <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: p/UJlrci�Q V�+tvk��-A-a nA. Additional facilities needed <br /> 7. PREVIOUS OPERATION RISTORY <br /> L-Ae-'9 <br /> 8. GENERAL SANITATION <br /> State any problems not previously noted: <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />