Laserfiche WebLink
t <br /> i <br /> r <br /> 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 water supplied by private well : Yes 72:�- 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 /> St.�c�C�-- - �/✓�c� -'i mei ,_ :�' � `.'� y <br /> 3 . GARBAGE & REFUSE <br /> Licensed scavenger pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential Rroblem: <br /> 4 . FLY , MOSQUITOOR Y '^. � PSITERUAL <br /> State possible vector potentin.l & necessary control : <br /> 5 . MILET/BATH FACILITES <br /> No. & location existing : Additional <br /> facilities needed <br /> 6 . PREVIOUS OPERATION HISTORY <br /> 7 . GENERAL SANITATION. <br /> State any problems not previously rioted: _ _ <br /> 8 . POPULATIQ14 DENSITY <br /> Appx . No . People per sq. mi . <br />