Laserfiche WebLink
FOR OFFI�E ^-' <br /> //*�� '�/- <br /> -' /7 APPLICATION FOR SANITATION PERMIT ' Permit No. <br /> _ (Complete in Date Isoumd� <br /> ,--This Permit <br /> ~ ~_� <br /> � <br /> Application is hereby made to the San j8a4uin dlfk,District for a permit to construct and install the work herein described. <br /> This application is made in complian Is with County Ordina�inc­6-"No. 549. yq,) 6 v- 2-ZO <br /> 49 <br /> ------------------ <br /> Address ' ' <br /> A --- ----- --------------- ----------------------­ PhoneA <br /> Installation will serve: Residence 21"IApartment House Commercial 0, Trailer Court E] Motel [] Other C] <br /> `nm"uo, ". .°."y �"'"' "e"'o~^~ ~~^''Numberof ~~'' ' --- -~'---------�����.. <br /> ^� <br /> Waterd�r �u��v Pubic �ysystemunKy � [] Private [] Depth to Watermte/ Tu�m"w.�^n <br /> ' ft <br /> Character of sail to a depth of 3 feei: Sand E],CG!ravel 0. Sanay Loom [-] Clay Loam gj-'day [] Adobe 0 Hardoan C] <br />' Previous Application <br /> Y � <br /> TYPE OF INSTALLATION AND SPECIFICATIONS:_ <br /> r feet <br /> (No sopfic tank or cesspool permitted if publii� sewer is available within 200 <br /> | ^ <br /> Disposal ield: Distunce.`frvm near7f we|WOW..Distance from foundafio <br /> Number of linesLength of each | ` of french <br /> � D �� f �|h,r |mngH` <br /> � <br /> ..---''`ype of G|hyr m opo <br /> --- <br /> Seepage <br /> Pit: Distance to nearest well---------------------Disf nce ' foundation........---------iDisfonco +o nearest lot line----------------- ' <br /> ' [] <br /> Number of 'pits----------------------Li " ufoirimL.-------Size: Diameter--_----_Depth--------------------------------- <br /> 'Cesspool: Distance �?nm nearest well �~-4 Distance from foundation �.�n�g mofe,aL---.—_-_—_� K <br /> S�a' D�~"Ot~-� _--._-_Y--Doo+6 -..�--____----_-..-L�vid --_-___ --- <br /> -- � ^ 7 <br /> \; <br /> Privy: Distance from <br /> "om neu, ,+ woU -''z���'-''--'/�k^-'—,--D�+*nco from nouy' <br /> ,00 building <br /> ' <br /> ----------- ----------------------------- <br /> Distance <br /> -.-'--_--'-- <br /> Disfono, to`nearest lot line--------------------------------- L-_—_._-.--'------------------------------------- -__—_,_—.- <br /> Remodeling and/or repairing' ' _ --------------------------- ------ --'—'— �------ <br /> + <br /> ^ --------------------------------- <br /> K�» <br /> ` ' '' _-_-____.'-----''_--' <br /> ---------I...h-------b--------er-,t`f­-that I have prepared this application and +ha�f the"work will be done in�bccordance with San Joaquin County <br /> i <br /> ordinances, ' � <br /> | <br /> (Plot plan, showing size of lot. location of sy'Afern i ation to wells, buildings, efc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> i <br /> � APPLICATION ACCEPTED BY <br /> � �/'Alt � <br /> . I + � �� � '- <br /> � ---' '---'-r''-------''-'-'---'-' <br /> ' ----'--''--''--'-'--'--''l--' ���- � <br /> �_-.-_---_--,_.�_---'----'- _-. , -_.--_'-_-.'--.__'_^'--_-_.,''--''--_._-',--' <br /> ) ^ _�. � ___.__ ___-_-'__-_-'' <br /> > --'--'---'--'--------'''� ------- <br /> ---------------------------------------------- <br /> '—'- '--' ---'-'''--'---' ' :;�-'' ' <br /> --' <br /> ---_--------- - � . <br /> . ~- ~ _~__~� <br /> - 2 _ <br /> FINAL INSPECTION 8Y��w/.�^�.�/������� --- u��o-u.�-.�...^-'c-..��--..^"----------- .. <br /> / / ) <br /> SAN aOAQu|w�O«CpvL'FftALTH <br /> ' <br /> 130 South American Street wwwWest Oak Street 1m*svom"wStreet op»West 9th Street <br /> _ Slogicton,California Lodi,California California r �+ Tracy, <br /> California <br /> "6 v "=°"""°°" *" "'", ATLAS 4., _ <br /> �� � <br /> 4 <br />