Laserfiche WebLink
(2) <br /> 1. SEWAGE <br /> Distance to Public Sewers Connection necessary: Yes _ No _ <br /> Does existing septic system comply with Ord. W549: Yes — No — Unknown — <br /> If no, explain: <br /> Describe septic installation to be installed: <br /> Additional information or comments: <br /> 2. WATER SUPPLY <br /> Is water supplied by private well:. Yes No Is well proper: Yes No <br /> State deficiency. <br /> Does existing or proposed use make this well public water: Yes �'1140 <br /> Sample of well water taken: Yes No Date Taken Results <br /> Additional information or comments: <br /> 3. GARBAGE 01REFUSE - <br /> T3 _...�n .] - . <br /> L�i.ar0A sloavengci' pick-up: Yes No Service Area No. <br /> Other proposed disposal method: <br /> Pote.n i`, problem: <br /> 4. FLY, MOSQUITO OR. VECTOR I-OT1±NTIAL <br /> State possible vector potential & necessary control: <br /> 5• AIR POLLUTION POTENTIAL <br /> Stat: possible burning or processing pollutants & necessary control: <br /> 6. '10ILF.T/BATH FACILITIES <br /> No. & location existing: Additional facilities ni-'. d <br /> 7. ?REVIOUS 01'L ATION HISTORY <br /> 8. GENERAL SANITATION <br /> State any problems not previously noted : <br /> 9. POPULATION DENSITY <br /> Appx. No. People per sq. mi. <br />