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FOR OFFICE USE: FOR OFFICE USE. <br /> APPLICATION FOR SANITATION PERMIT GG <br /> ------------------------- ---------------------- Permit No.._70--. <br /> (Complete in Triplicate) ------- <br /> Date <br /> 3 <br /> Date Issued ,/ 7� <br /> ------------------------------------------------ -------- This Permit Expires 1 Year From Date Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described, <br /> This application is made in compliance with County Ordinance No. 5.49 and existing Rules and Regulations: <br /> JOB ADDRESS/LOON------ ___-----_7-, _e _ `� z <br /> TRACT_ <br /> --•------ --------- -------- <br /> Owner's Name_..-CAT - ------- -- ---------------------- --------- ----------------- --------- --------Phone---------- ----- <br /> Address- -----------' 4-'�� " City -------- --------------Z'P- <br /> nstallateonswill serve: Residence Apartment Hou �---License #._w _Phone______ _ <br /> -_______________ ------- <br /> se❑ Commercial ❑ Trailer Court ❑ <br /> _ _ •_ <br /> ' • r rGarba a Gri'-<-•---- - - ---"---- <br /> Number of living units________ __ Number'of,bedroo s -__ __. a. <br /> -- Motel- •' Other-.- <br /> - g ndex------------Lot Size---------------------- <br /> --------------------------- <br /> Water <br /> -.- -------- ------r----- <br /> Water Supply: Public System: <br /> andPrivate <br /> ------ --- L� I <br /> Character of soil to a depth of 3 feet: ; <br />