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~-- ��- _«[ zf ��p[]C�������� ���� SANITATION PERMITPerm� No '' - ' <br /> . / �I <br /> (Complete in Duplicat ) Date Issued _­b-21--- <br /> nstall the work herein described. <br /> Application is hereby made to the San Joaquin Local Hesl per I VUU11�11­ ­i <br /> This application is made in compliance with County Ordinance No. 549. <br /> W,- -- ---- -- --- ------------C-11,At ---4x <br /> Installation will serve: Residence N Apartment House El Commercial 0 Trailer Court El Motel 0, Other Q <br /> Nuri-iber of living units: ---/-- Nlumber of bedr Private F� Depth to Wafer Table --------- ft. ------- - ---------- <br /> Water Supply: Public system [,0- Community system [I <br /> Character of soil to a depth of 3 fee+: S d Gravel D Sandy Loam 0 Clay Loam El Clay E] Adobe a Hardpan 0 <br /> Previous Application Made: Yes F-1 No:�PNew Construction: Yes Zie"'N' o E]-+A/VA: Yes [I No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: ilable within 200 feet.) <br /> (No septic tank or'cesspool permitted if public sewer is ava /I <br /> Distance from nearest well,�_�Distance from fou_n(jAtion_Zd__7---"- - <br /> No. of compartm <br /> Disposal Field: Distance from nearest istance fr*;R-founcla ,onL. ---- ----------Distance to nearest lot <br /> ,Xe ----------------- 0-00--_ <br /> 3oopogn Pit Distance to nearest well----_-.Distance from foundation---------Distance tv nearest lot nline------ <br /> ,' [� ' Num6erofp��._----����ning muf��uL__--_..���� Diumut�r-__----Dopth-.--_----. | <br /> ------------------------------------- <br /> Cesspool: <br /> '��'--'--' <br /> Ceuo`oo'' Distance from neur�� �r|'--'--D|���c� 6n� fou"� � ^''�-�Uw|ng mute,o <br /> S�u� Diameter -'_-_^- '---- Dopth - - � �_..��ui6 �vpnc�y.-_'_.___�'o m. <br /> n _ L^v <br /> � <br /> / D�+unce from nonn,� 6ui|6�g - <br />| �|�v �o � woU ''-''-�--'--'--' � <br /> ' -'------- <br /> Remodeling and/or repairing (describe): ^ ------' <br /> ---------1--her-e-6-y--cert-ify that I have prepared this application fa`nd that the work will be done in accordance with San-Joaquin County <br /> of the S�n Joaquin Local Health District. <br /> ' - ~ 0 - �- - - -- ' <br /> i 2 , 1 Contractor) <br /> i my; -�---^----------'- etc.. can be placed on reverse side). <br /> (Plot Ian, showing size of lot, location of system in relation to wells, buildings, <br /> ( <br /> ! � <br /> '`^''EW- BY-- - --- u�/� ------ <br /> | .-�]k�?iK�_. ��mcp��*���,- <br /> __v ___�__.__/________�__________________'--''v_'--'''--''��''---'-''---'--'---'-'-------'--- <br /> .--`__._-_._--_--�._-.-._-_----.-'_----_-_.---.------_-..�'__-__--._._---���� <br /> ------------------------------- <br /> ''-�'--''__.'--'''_-'-'''-''-_'---'-''----'��� <br /> | --''----'--'''- <br /> � �7 <br /> *'I'~, O�t� ---�/'��/mf--''-�-''-'-'-'-'RN/\L |N3PECT|{}N 8Y�'---- ^-------'--- ---' <br /> � U\NLOCAL HEALTH %IST�CT <br /> � SAJN J���� <br /> /30 South American Street 300 West Oak Street 132 Sycamore Street o|* North "C" Street��6| California Manteca, California r�*v California\ Stockton, California . <br /> ES-9-2M Revised 1.57 arzn <br />