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< <br /> APPLICATION FOR SANITATION PERMIT Permit No. jjz. .......... <br /> (Complete in Duplicate) Date Issued <br /> e to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> Ap+ica4tion is =ereby rn <br /> This application is madd in compliance with County Ordinance No. 549. <br /> 1 90 <br /> I Other E] <br /> Installation will serve: Residence 51 Apartment House n Co ercial E] Trailer Court Motel F-]r <br /> Number of living units: Number of bedrooms A�__ Number of baths I---- Lot size JUAJ-1-Ap�_-&-AtY----------------------- <br /> dt <br /> Water Supply: Public system Community system El 'Private n Depth to Wafer Table -------- ff. <br /> Character of soil to a depth of 3 feet: Sand 0 Gravel El Sandy Loam [M Clay Loam El Clay,[j Adobe E] Hardpan <br /> Previous Application Made: Yes [] No New Construction: Yes:Eo No E] tHA/VA- Yes E] No El <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or'cesspool permitted if public sewer is,available within 200 feet.) <br /> Disposal Field: Distance from nearest well _1&_V--------Distance from foundation_lt�---------Distance to nearestlot line-_,C/-------- <br /> Seepage Pit: Distance to rea /#VV.........Distance from founclafion_.,;-_0__........DNtance to nearest lot line 47' <br /> Remodeling and/or repairing (desc <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, nd rules and regulations of.the San Joaquin Local Health District. <br /> (Plot plan, showing size o lot, location of system in,relafion to wells, 6uildrngs, etc., can be place on-reve-rs-e--si ej. <br /> feon re`=ere side <br /> FOR DEPARTMENT USE ONLY <br /> � '"'LIC"''O'` ACCEPTED "''v�~ --''---'----'--''--'-'--''�-- DE�--�1,3!__- ^ <br /> � <br /> DATE <br /> REVIEWED B�L--'-_'---''--'_''_'-''_�-'-_._'-'____�-______________ ______________________.__ <br /> ' <br /> BUILDING PERMIT ISSUED------------------------------------------- ---------------------------------------------------------- u*/E-----------------------------------------------------_.- <br /> AKera+konoand/or recommendations:----------------------------------------------- -'----'_-.__--__---------------.____--. <br /> -'--'---'''---''-''�_''-''__'-'-'''-'---''--'--_''-_--''-'---'''_--'_-_-'--''__.'--_-__-'-_'_--' <br /> / --_-_----_-__--_-_-.------__'_----. __._--._-._.-_^-_--.__-_--_--__------. <br /> --''_-�---''----'-''-''--'''_-'`-''''''''-''-_''-_.----''--.'--'''--'-''-'''__'''---'--_'-''--- <br /> --'''---'--'''--_''-''`-''__'--'_'--'''��--'---''-''-_-�'--''_''---'''--_-'''--''-''_''---__- <br /> . �� �� � <br /> RNAL INSPECTION BY: �/----.. D�+oW�-�'��,' ' ----------------------------------------------- <br /> SAN <br /> --------__---_SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> . /30 south America" street 300 West Oak Street /32 Sycamore street . ow worth "C" Street <br /> ' <br /> Stockton, California Lodi, California Manteca, California n~m` California <br /> � <br /> � <br /> ES-9-2w Re~/"°ci 1.5' r�rCO. _ <br />