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Q <br />/l | <br />-� APPLICATION -FOR SANI�� �����[�- ' Permit No� ( <br />_^��"'~° , ''+�^zc_�_ <br />=-This Perrnit Expires I Year From Date Issued <br />(Complete Duplicatel <br />' Dofo Issued <br />Application 'is hereby made to the Son Joaquin Local Hpialfh District for a permit to construct and insfall the work herein described. <br />This application is made in compliance with County Ordinance No. 549. 4 <br />--------------------------------------------------------------------------------------------- <br />` <br />Number of living.units:"-L- .."nuer of bedrooms. +��. Number of baths -/'.. Lot size .. <br />�/mier'Supp�. Pubic <br />l' 0 Community r [] P,�o+n7-Fl Depth to ' ater Table` ft ' <br />Character 'of soil fol depth of ' Sand E]6~ � [] Sana.Loam E] Clay Loam F]Clay �] Adobe�m Hardpan 0 <br />Previous |p|�uNon Made: Yes E] No�� Ne�Co�,f,u"+ion: Yes [� No ^ FHA/VA.Yes [I, No[� <br />TYPE OF INSTALLATION AND SPECIFICATIONS: <br />� �� <br />(4* septic per <br />m,Me6 if pu6lic^se'«ar is evmUmb|o within 200 foot.) <br />Septic Tank: ) ' <br />/ o,y from nearest^ well '''� / .��Dzis�+ ` . �ndution <br />--------------------Muteriu| <br />F-1 No. of compartments .?''-,.­ ----------- ---- Liquid depfh---------- -------------- C'-ap'a'-c-it�y^----- <br />'- <br />'-'-._ <br />Oispo, | Field: Distance from nearest well ................. Di <br />-foun6uf�n-'_-L'''-Distance to nearest �tUnm'--'--- <br />- <br />[ Number of1�es'--''-''',--� ------- Length of each knv------------------- '''.�Width oftrench <br />Type of G4ermaterial ------------ L-..�Depth / <br />' � of�|h:,�m�~tr�oL_--L'-_7o�o| length ----''----'-''------- <br />� <br />--�-Q � �PPit. � _D_i�--�_n ~ +o_v |L `~- ~D <br />ndation ----- to nearest lot -------- <br />Number 'of ------------ Lining mo+e�oL..'/?�d_'Size <br />:'Dium�e�.f.v�r�-�-�.k--._-P'_--�5_-.�_-_� <br />Cesspool: Distance from n !reo we}L-.�--'D��ncefrom foundation ----- material_ ----------------------------------- <br />El <br />Alterations and/or recommenoc#ions:-, <br />__---_-_--.'L1 S�»: D�mote'`_''''_''�-'''_'.Depf -''''---''-_.'''-'��.''-'Uoui6 Cupoc�y-_''' __�."-_-- <br />_u-�- <br />.. <br />. <br />! <br />[ Distance to nearest |"+ |�e''_--'�—'-- <br />-��__________����____.____, <br />-_' _ - .,______..--'''-'�-'--- <br />Rumod�� 6/o,,epo�ng�e,6b��-----'-'_----_-._-_-_--__.-__-_ <br />._._-'-__-^-_--___-_-..__._---..�-___-------_-.___---.-_._--_-._--._.--'-'- <br />' <br />� <br />-_''-''-'--'''-''-_-_-''__''--_-___.'''-�'-_.--'-_'''__.-_-'-----___''-'--'_-_-.---�-'--'''� <br />------'----'--''---'-------'-^�-----------'-----'---------'—'---' '--''-�| ^~`~ ^' ^~' 'haver accordance with Joaquin County <br />ordinances, State laws, and rules and regulations of the <br />lth <br />��ne6. ' j�__����' San <br />L.. .�----------------------------------------------------------------------- and/or Contractor) <br />By: ----------------------------------------------------------------------------- <br />'_____ ---�--Uqofp�n. showing size of lot, location of system in re�on to *oUs, buildings, et* can �e placed on '°,"'xasme�------�- <br />FOR DEPARTMENT ~^^=`L' <br />REV[-EWED BY <br />-''--''''----- DATE <br />BUILDING PERMIT ISSUED <br />�NAL INSPECTION Date <br />SAN JOAQU|N LOCAL HEALTH DISTRICT <br />/m South American Street 300 West Oak Street 132 Sycamore Street 014 North "C" Street <br />Stockton, California Lodi, California w°"+°"°. California Tracy, California <br />FS -9-2M m*"yv'59,,zo. <br />