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/ <br /> Pon�� No <br /> APPLI[���T\���� FOR SANITATION PERMIT <br /> . ' -- -- <br /> ' kCvmolefa in DwpKmafm Omfo Issued -/. - <br /> ' <br /> ' <br /> P.Applica-1-ion hereby made +q- <br /> the San Joaquin Local Health District for o permit +oconstruct omJ ��oUthe°o,� 6�n�n6mz�6a6 <br /> . <br /> This a plication is made in compliance with County Or6 <br /> ' <br /> No549 <br /> JOB ADDRESS AND�O <br /> Owner's Nam <br /> . --------- <br /> Address--. <br /> -------------------------------------------------------------------- <br /> Installation will serve: Residence Apartment House [] Commercial [] Trailer Court [I Motel 0 Other [I <br /> 00 <br /> Water Supply Public systp'm El Community system E] Privat Depth to Water To <br /> Character of soil to a depth of 3 feet: Sand El Gravel 0 Sandy Loam El Clay Loam [I Clay E] Ado Hardpan E] <br /> Previous Application Made-' Yes El N 0 <br /> TYPE OF INSTALLATION -AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200.f4t.) <br /> Septic'Tank: Distan6a from-nearest well Dist on---/a-----------M t <br /> ! �^� � to nearest ]of | ----- <br /> al Field: Distance from nearest well ---Dist 4 a I�te1rom foundation/ -- nch--------- <br /> ! ,' x` TyP� 9ƒ' filter mo�yr�u�*�*r��z-,r�"p " "' "^~' ^'~'~~-''v-��z���'�Tot- ' - <br /> � ^~ 6 ~'�� '�� �Di�ato nearest lot <br /> ||n� �L <br /> ce to nearest we, <br /> � ---------- <br /> Privy: u/�onp, `mm� x�".�,. ~="il-,,----''�-'�-'--_ . <br /> - D|�untn +onoon,,tlot line----_------------'-'__'-__-'_'__________.______________ �\ <br /> ^l <br /> ---------- <br /> Remodeling <br /> . . , <br /> --- <br /> ' <br /> \ Remnd�[mg and/or repairing <br /> ng --- _----___�__.. <br /> _ . <br /> '--..-�. _.--.____-..--''-_.''-'---''-� _-'__�---'''-''�-'-__.-'''-''-'''---'-. <br /> ----_-._---_ � ---_--_-'^---'-___---' <br /> ._-' -__.—__- .—'---'--'-__.'-_-__�---�___ -__-_�_-_- _ '----'----'-'''-''-'-'— <br /> ' -----'-''----'''-----'--�'--'--''-----''-- <br /> --�---'-------r---- <br /> her <br /> certi <br /> fy <br /> tha <br /> --- | h6 ��� U tiomanJfhm+ H`owo,k ~U\ 6e'6wno in accordance with Sun Joaquin County <br /> and rules and regulations of +he�San Joaquin,,Local Health District. <br /> / 'ordinances, State laws, <br /> e )------ ��ee- ;F -------1,-::.F <br /> � <br /> � — __ __ <br /> �on� ou/n==v^ °.~- ^~. ~~ r~� .-. <br /> (Plot r~^' showing ��e �+' ��of�n nt system | ra�� ,o \ <br /> � <br /> FOR DEPARTMENT USE ONLY <br /> ' ' um�- <br /> � REVEV�ED 0Y- ''e�=�. -'''�--'-'_--_'-_--'''`-''--'-'-- <br /> l ' '' DATE --------'----'' <br /> � <br /> BUILDING PERMIT |SSUEu___--'''-''--''--^-''-'''--_.''_-__-_______' . �����, ______________.'_ <br /> Alterations and/or ,apommwndamnns----------------..-.---_-.--_-.---_-.-_- -_ <br /> / - ! L � _ ____.____ <br /> _-' ._.____-_.. --._----- -.-_-__--________________.______ _ -----__--'-- <br /> '---'--'''''-''-''_+'-''_''-''---'-' �''-''--''--_---''-_'''----'-''''-'-__''' ------- <br /> ---------------------- <br /> '-- <br /> '-' -''_—'-''-_'-_'''-_''''_''''_''--'''--'------'-'''--- <br /> / . _-'--'_''--'-'''----'''''_--''-''- <br /> -- '-- <br /> -_-` - � ''-_'-'''_-'�-''''_'-'-_''�-''-''''-'-'-''---'~-'�- <br /> '-- <br /> ` - <br /> '--'--'Do+o ----- <br /> FINAL <br /> |N3PB�T|[ N BY�.- . ---- <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> \ <br /> | mm v ** oak Street 132 Sycamore Street a|* North ^or' Street <br /> 130 South American Street <br /> Manteca, CaliforniaTm"v California <br /> ��*��". ��|a","�° Lodi, California ° . . <br /> � ^ <br /> s�_p-�� � n=�°d W-2 100 . <br /> � � <br /> ����� <br />