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� <br />~41 APPLICATION FOR SANITATION PERMIT <br />� <br />permit No. (Complete in Duplicate) Dat' <br />stall the work herein described. <br />'Joaquin Local Health District for a permit to constrL.lCf and In <br />to the Son L <br />A licationfis hereby mad <br />------------- <br />Contractor's Name ---- <br />-Commercial 0 Tr%lijr Court [I <br />Residence Apar+menf House 0 <br />Installation will serve ths Lot size <br />ivin �u bet 'Nu <br />Number.of Ii i g units: systern-[] Private E] ' Depfh'fo Wafer Table -------- ft. <br />�4 Hardpan El <br />Sand Gravel D Sa�dy'.Lioam lay Loam 0 Clay El Adobe <br />Character of soil to a de�'k of 3 <br />Previous Application Madb: Yes [] No New Construction. Yes Er No F1 <br />TYPE OF INSTALLATIOM AND SPECIFICATIONS: a <br />- -r. ----- a -d-4 <br />11 1 _V 'f,u,-d', 'on- --- N____.MateriaI__g --- <br />Sept' T nk- Distance from nearest well - -------- --Distance frorr T--- Capacity -4 -w -d ---- �&) <br />------------ <br />---- Distance to nearest lot line <br />Msfallice fro.rn nlea"Ist 11h...A/ -Distance from foundation ----------- lfh of trench ------------------- <br />Number of Ii lengfh_A�-0 <br />modeling and/or ,*| <br />''_--'-_--'------------- <br />I hereby certify <br />|h <br />' �~s <br />Sine�--^�-- <br />By: -'— i <br />� ' <br />(Plot plan, showing slz� <br />�s+��L "'~°'�` ---' <br />8 nc�fnzm n��n, _-^=�'-''--''-'''-_ <br />.-�`-' <br />'-'-''--- �-_-_ <br />-____.________'' _____ <br />.�._ to nonn�f |o+|ine'-'_-�-_-___--_�_-�'__.'�-_-'---'-_-^ <br />_--._._-'-'-''-'-'--'-- <br />iihnq (describe):.--.--.--.- <br />____________.____---__ <br />0 <br />-''-----''--�___~° <br />-_-----''--''-'-----_'- <br />Y <br />I ' -_-� <br />._'' <br />_-_� <br />'�_-_-'-_--_ <br />__-''`^'-'._------_-_�_'. _'-`----'-'---'-'' <br />_.-_.'_-- <br />�-----^-''-----'---------'-------''-''--''--`-__ <br />Jsu�he �*0 6odone |n accordance ~�hSan Joaquin <br />i Health District.�nd rules and regulafioyptof).he San Joaquin Loca6f lot. location .-of system in relation to wells, 6uildinris, etc.; can be placed on reverse side).it I have prepared this application <br />--------- ENTUSE C}NLf <br />FO�D�ARl� <br />SANJOAQU|NLOCALH£ALTHDISJRICT <br />amvY*� o^ s**° 132 Sycamore Street <br />130 South AmericanStreet � Manteca, California$""m"". oa|/ ° Lodi, California -.1.1 <br />w*North 'CrStreet <br />