Laserfiche WebLink
1. SEWAGE (2) <br /> Distance to Public Sewers NI S Connection necessary: Yes _ No <br /> Does existing septic system comply with Ord . #549: Yes No Unknown ✓ <br /> If no, explain: <br /> Describe septic installation to be installed: <br /> sz4q- &W41A" <br /> Additional i formation or congnents: <br /> 2. WATER SUPPLY � <br /> Is water supplied by private w Yes ✓ No Is well proper: Yes v00' No <br /> State deficiency: <br /> Does existing or proposed use make this well public water: Yes _ No <br /> Sample of well water taken: Yes _ No ✓ Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE &, REr,usE <br /> Licensed scavenger pick-up: Yes No / Service Area No. <br /> Other proposed disposal method : <br /> Potential problem: <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: <br /> tj IA <br /> 5. AIR POLLUTION POTENTIAL <br /> State possible burning or processing pollutants & necessary control: <br /> N IA <br /> 6. TOILET/BATH FACILITIES <br /> No. & location existing: Additional facilities needed <br /> 7. PREVIOUS OPERATION HISTORY <br /> 6. GK ERAL SANITATION <br /> State any problems not previously noted: <br /> %41V <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br /> EH 06 06 3/71 <br /> • 4/78 750 <br /> ,V <br /> I <br />