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FOR 0FFiCEU SF-,. APPLICATION FOR SANITATION PERMIT <br /> Permit No. <br /> ------- ;Ceanplete in Ttipticatel ' <br /> .. _...:...__.. <br /> Date�lssued '� <br /> ` ........ .... This Panna Explres 1 Year Prov+bate ksued <br /> . <br /> l the work <br /> struct and <br /> for 0 <br /> rmit to <br /> Application <br /> is hereby made to the San Joaquin Local Health District nonce No. 544 and existing Rulestalrad Regutationsrein i <br /> described.This application is mous in comPlionce with CountyA_ <br /> - ."CENSUS TRACT ....... <br /> ` <br /> S310 ON TSlr•---- <br /> x <br /> JOB; ADDRESS/OCATI � SE �"� . ..... <br /> •--'•-•--- � oney , <br /> - -l r_.....__.Owner'i Nome City .......... <br /> > , <br /> Y t sAddres ! Phone <br /> # � <br /> License <br /> r's Name <br /> Installation will serve• h <br /> Reside ce�Apartrrs Hou (]Trailer Court fl a <br /> enr se fl �" <br /> y <br /> mertaa <br /> ( Culler--------------------------------! <br /> Lot S. _/ D... �5•:!+/- -•- __ ;: .;. <br /> " *' Number of bedrooms ••--Ga�9 <br /> 7 Nurt.or.of living units..� Private <br /> , <br /> Water Su I Public Sys and name ❑ <br /> PP Y' Peat❑ Sandy Clay Loam <br /> of soil to a depth of 3 feet fSand Sift Q Gay Q . ; <br /> - ; <br />