Laserfiche WebLink
(2) <br /> 1. SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes '--"`No _ <br /> Does existing septic system comply with Ord. 4549: Yes No _ Unknown <br /> If no, "ezplaln:� <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> I =t+atiei' supplied by private well: Yes _ NO _ Is well proper: Yes No <br /> S,tekte d`eficieiicy: <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 /> ...... <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE ( ^ <br /> Licensed scavenger pick-up: Yes '---No _ Service Area No. <br /> Other proposed disposal method: <br /> Fotential problem: <br /> 4. -FLY;' MOSQUITO OR VECTOR POTENTIAL <br /> State possible vector potential & necessary control: ---- <br /> 5. AIR POLLUTION P0MITIAL <br /> State possible burning or processing pollutants & necessary control: <br /> 6.; TOILET/BATH FACILITIES <br /> No.'.,&--location existing: 1"a-r � Additional facilities needed <br /> 7. ?REVIOU5 01,EhATION HISTORY <br /> 8. GF147.RAL SANITATION <br /> State any problems not previously notcd: <br /> 9.. <br /> POPUI:ATION DENSITY <br /> Appx.. No. People per sq. n,i. <br />