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------------------ <br />APPLICATION FOR SANITATION PERMI 3d <br />ate Issued <br />ion is hereby made tc, the Son Joaquin Local Healih Disi f for a Permit to construct and install the work herein described. <br />APPIic�i� X <br />This application is made' in Compliance with Counfy,�Qrdinance N1. <br />JOB ADDRESS AND C0CATI0VN__&_: <br />ric <br />--------------------------- <br />------------ <br />Installation will serve: <br />i orimercial El Trailer Court Ej Motel other E] <br />�Number of livi'4 units: <br />n j---- Number of bedrooms _2___ Nu riber of baths <br />Wafer P Supply: Public"system'211"Commur"fY System Priva Lot size ----------------- <br />Chara�fer of soil to a jePfh of 3 feet: San I El Depth to Water Table _�J,7ft. <br />Previous Application Made: (If yes, dote - ------------------ ) No - 1; Clay Ej Adobe [3--14ardpan <br />OF INSTALLATION AND SPECIFICATIONS: ?, <br />(No Septic tank or cesspool Permitted if public sewer is <br />available within 200 feet.) <br />Sej4lic Tank: Distance from nearesf <br />Number of lines ------ Distance firipm foundation -------------------- Distance to nearest lot line. <br />D j s p o �sal �21 cl: Distance from nearest well. ---------------------- <br />4'+4 <br />Number of pits --J-------_-------- Distance to nearest lot line ...... <br />Distance to n�ar�'sf Jot line <br />Remodefing and/or repairing (describe): ------------- <br />I 6reby-cert;fy'fhaf I have prepA'ed this a0licafion andaha 'h' -e' work will be done in accordance with San Joaquin <br />(Plot plan. showing size 0 oc <br />0 f. loc flon of system in relafion to wells, Guildings, etc., can be placed on reverse sid <br />T ENT <br />APPLICATION ACCEPTED B. <br />FINAL INSPECTION tIY:__ <br />SAN JOAQUIN LOCAL H <br />130 South American Street 300 West Oak Street <br />Stockton, California Lodir California <br />EONLT <br />-------------- ---------------- DATE ------ <br />------- ____-_'DATE.-./_—..�.--�--�---'—' <br />------------------------------ DATE <br />'-_--_----_'---'-'---- <br />------------------------------ ----------- <br />-------------- -------------------- .-......... -------- <br />------------------------------- -----_-----__--------------------_--------_ <br />'-'''-''-''''-''---'--'--'--''--'-'-''--'' <br />'-''-'''--''-' <br />' ` ''-'-'-'-'-_''-----' <br />Dufo' <br />-/, ------------------------------'-TH DISTRICT <br />- <br />124 Sycamore Street <br />xwSWest 91hStreet <br />MO"tec0l'c"xforn/m TrOcY, California <br />