Laserfiche WebLink
w <br /> 1 . 6d1:tIIL1G F <br /> Distance to Public Sewers - Connection necessary: Yes No_ <br /> Does existing septic system comply with Ord. #549 : Yeez No_ <br /> Unknown If no, explain: <br /> Describe sept c ipstallation to be installed: <br /> /Old ' /&KY � Ze of 'z?c n <br /> 2. WATER SUPPLY <br /> Is water supplied by private well : Yes "­-110Is crell proper: <br /> YesL,- No State deficiency : <br /> Does gAisting 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 methQd <br /> Potential problem: 1\jo&e <br /> 4 . =L mosg im OR y QTQJ PC)fTIjT?du <br /> State possible vector potentiftl & necessary control : <br /> A <br /> 5 . TOILET/BATH FACILITES <br /> No . & location existing : _ Additional <br /> facilities needed _ <br /> 6 . PREVTons OPER.ATInt4 HisTngy <br /> S . F . ,O bN !07' <br /> 7 . GENERAL SANITATION <br /> State any problem: not previously noted : - <br /> 8 . <br /> oted : _8 . EOP1LTT014 DENSTTv <br /> Appx. No . People per sq . mi . <br />