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 inst.alled: <br /> 2 . WATER S(IPPL'I <br /> Is water supplied by private ;cell : Yes l� No Is well proper: <br /> Yes� o State deficiency :��� �,�, 2-0), Q- <br /> Lo L �,a <br /> Does existing or porposed use make this well public water: Yes <br /> No L�Sample of well water tarsen: 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 . FAL MOSQUITO QS v E^TQPC)f=, Au <br /> State possible vector potentiftl & necessary control : <br /> 5 . TOTLET/BATH FACILITES <br /> No . & location existing: _ Additional <br /> facilities needed _ <br /> 6 . PRFVTOr15 OPI R.ATIQN H r <br /> r <br /> �° <br /> t. <br /> 09 <br /> 7 . GENERAL SA1i1_;rAa`J'ION ✓ • �� <br /> State any problem.- not previously noted : <br /> 3 . F=LATION Dn' ` TTY <br /> Appx . No . People per rq . r,,i . <br />