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APPLICATION�APPLICATION <br /> �� FOR SANITATION PERMIT Permit No. _25-7;_ <br /> -- <br /> ' Oum�omfe <br /> '-- -)Duplicate) ~ Date Issued <br /> . <br /> Applica+ion is hereby <br /> fo the San Joaquin Local Health 'District for a permit to construct and install the work herein described. <br /> This application is made in compliance v rdinance No. 549. <br /> JOB ADDRESS L 0 CAT 10 N lctzo�,�rv/,Lv ...... ----------I------------- --------- <br /> ---------------------- <br /> Address_._Z.7_ ---- --- -------------- ----- ... ..... .... .. ------- ---------- -------------------------------------------------------------------------- <br /> Contractor's <br /> - rai er Court El Motel Other <br /> Installation will serve:r Residence Apartment House [_1 Commercial dl� I p <br /> . ` <br /> ' <br /> Number of living units- � 6mJm�m` Number � 6o+ . � L� �� +.�� � �� 9-___.. <br /> �Water Supply: �| <br /> system mmunity system El 'Private'[] Depth to VV6terTable -- � <br /> . ="� . <br /> Character of soil to 6e �3 feet: Sand E] Gravel [] 6*n6v Loam [:] �� L�m [] Clay [] �o��� Hardpan � ' <br /> � . ~^. <br /> Previous ` . Made: Yes F] NoF] New Construction: Yes 0NuE] <br /> ^ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: . <br /> (No septic tank or cesspool permitted if 61' sew r is available within 200 feet4 <br /> Sep nk: <br /> . Sill dep.th)------ ------------------Capacity- <br /> D|, Field: from <br /> Lengfh of each --- Width of french <br /> ',r" °' ""e " a',''4_0 <br /> `�^-~~r^ ~ ^ ~' ^'~'~'~~— ^++-'--'~~' ~~'y^^-''* --�--'~ � - '- -- z�_� � <br /> Seepage F;f�' Distance fu noan,,f °eU-'-----'Di�ancv "= fow�dufion------ _--------Distance to nearest lot line----------------- <br /> El Num6or'of pita----------------------Lining material------------------------ Diameter-----------------------Depth'_-----''--- <br /> : Distance from nearest well----------------Distance fnmm'foun6u+ioo'-'_'-_Lining matu6ui'------- ------ -''-'-- <br /> ElSize: --------------------------Depth-------------- --------------------------------------Liquid Capacity_-------------------------- <br /> Privy: Dis| nco from nearest well ------------------- ------------------- <br /> Distance from nearest building---_''-'__.'--_- � <br /> El Distance to'noanest lot line------------------------------ -- --------------- --------------------------------------------------------------------------------------------- <br /> . <br /> ' ''_-'-''_'--''----_-.-_.'--'-_'_-''-___--_'_-'----_------' ' <br /> --_--_._��--�_.-_----_----------'_-------'-_-_--'--.. � <br />. -'�'''---''-'--'---_-_---_-''___-_-'---'--.''---'-''-_.'__.-__-'-__.''--''--_-__-'-''--'�-'-'- <br /> , <br /> —'-''--_-,-'--'--'_''''__.''_-'-_-''_--_-'-_.-__.'-_.'-_-'---'''_-'-'_-.----__-'-''''-'-'-_ <br /> hereby certify thathave prepared this application and that the work will be done in accordancewith San Joaquin County <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. <br /> (P|mt p|on, showing size of lot, |ncation'mf"system in relation to wo||n' buildings, etc. ��n �� pku�u� �n reverse �i�*)' <br /> - . . <br /> FOR DEPARTMENT USE ONLY <br /> D QA <br /> ions an <br /> ---------------------- <br />� HN/\L INSPECTION BY: Du+o' ^-------------' <br /> uv 9(dGm *m°,.c*n Street ,wo West Oak Sfre*r � C*°."r. Street ' 81 "ort ~~ Street <br /> California Tracy, California ' <br /> 1254 <br />