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 /> N0 eXIS-ice L'4s4c- <br /> IF V <br /> Describe septic installation to be installed: <br /> AJehD , e!4 TTS 34r-" 6 dxy-e Io aJ rn,-k-- <br /> 2 . WATER SUPPLY <br /> Is water supplied by private well : Yes No ZIs well proper: <br /> Yes No State deficiency:-- <br /> ')1A <br /> eficiency: _')1A <br /> Does existing or porposed use make this well public water: Yes v <br /> No Sample of well water taken: Yes No Date taken <br /> Results Additional information or comments <br /> (flak✓ - <br /> d� � c� �h C�vh.uK � t✓a�e� S��S�m . <br /> 3 . GARBAGE & REFUSE <br /> . Licensed scavenger pick-up: Yes No Serce Area No . <br /> Other proposed disposal method: <br /> Potential problem: <br /> 4. FLY,L t R VECTOR POEENTIAL <br /> State ossible vector potential & necessary control: <br /> 5 . TQ 'F�i <br /> No . & location e ' stir _ Additional <br /> facilities needed _ <br /> 6 . U ' TORY <br /> 7 . <br /> State any prot�leiris not previous y noted: _ <br /> 8 . POPULATION IIE.i=_1 <br /> Appx. No. People per sq. mi . <br />