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Distance to Public Sewers -- Connection nacessarV Yaz--- No <br /> -- <br /> Does existizZ septic sysiem comply vith Ord. 4549: Yes,L- No-- <br /> Unknoun-- if no, explain,, <br /> Describe septio installation to 'be Metalled: <br /> 2. WATER <br /> 0 water supplied by privtte well ; Yes No Is well proper. <br /> Yee— No— State deK cy! <br /> Does existing or porposed U60 make this well public water: Yes <br /> Sample of wall water taken! Yes— No, Date taken <br /> Results------- Additional information or comments <br /> 1010 Lion, 510 <br /> GARSAG REPuy <br /> Licensed scavenger pick-up: Yes- So--- Service Area <br /> Other proposed Mpoaal Mathod;'� <br /> Potennial problem:- <br /> 4 . FLY., t2a=ITTO <br /> State possibly vector poteAtial & necessary control: <br /> fo & lo I cation existinw- Additional <br /> facilitits needed-------- <br /> State any jrd`z,�Iems not rioted! <br /> Appx. lo, People per sq, wl <br />