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APPLICATION FOR SANITATION PERMIT Permit No. �����_... <br />(Complete in <br />. Wherei Application <br />This applicatiori is made in compliance with County Ordinance No. 549. gc//. <br />Ile- <br />��|��w��� Residence 0A���Ho=e � Commercial � ���r Court E] Motel E] Other n,_� <br />Number ofliving units: l�- Number uf6mdn,omo.--_' Number of 6oths� ^�- Lot size '---._---_-�------------------------- <br />l�afm, Supply; Public,yst°m Community system [] � +e R2 --Depth' Water Tm6|uXh�_fi. <br />` <br />Character of soil tomdepth of3feet: Sand 0 Gravel 0 Sandy Loam ��� ��� ��� Hur�nOPrevious Application Made: Yes E] No g3-"Ne�e t;nstr�cfi66_� Yes [I No�'TYPE OF INSTALLATION AND SPECIFICATION�:(No septic tank or'cesspool permitted if public sewer is;available within 200 feet.)lylitD1 0 Fiel Distance from barest well --- 111129 .... C_Visf_�nce Gm f6undafion_'_/19' ------- Distance to nearest lot line ----------------- <br />rx �v 111� Width of frenc _�e_Type of filter material_/-ZAd)e-Depfh of filter material ----- ------- Total length ------- 4 --- - "Seepag�,Plf: Distance to nearest well___,/Ae0_'_X57�DiGtar!Ce fcpm foundation --- /4� -------- . Distance to nearest lot line_..;$`?47I hereby certify that I have prepared thi�'a k POLtion a`ind that the work will be done in accordance with',San Jo�quin Countyordinances, Sfafe laws, and rules and regulations of the San Joa'quin Local Health District.(Plot plan, showing size of lot, location oflsys�em'in,,relafion to wells, buildinq�s, etc., can 6e placed on reyerse.sid-ell. <br />APPLICATION ACC �---------------------------------------------------DATE '---7- ./'2,---7 '� <br />--------- <br />REVIEWED <br />BY'._-_--_-._---._---.__--..DATE_------.----'-_—_-._-'----'--.'-'�''_-_1 <br />BUILDING PERMIT ISSUED _------'-'''U.-'--'-_-.-_-_.-'-''-_''---�--- DATE <br />Alterations and/or ,ecnmmon6atinnx_-- .. -------. --____--_'-__.___-_..__._______.___.- <br />-_'^~�~�.-.~~^~~' -'~�--'^~�'�__'-_-'-'''-_'---''--'''--''''_-__.'-_---__.--.- <br />--'_-'-''------'-''---''-''--'''--'''_-'---'-'''--_''-''--'-''''-'----'---'''-'''''-'-''_-'-'- <br />-'--_'-''--'-'''''-'''-''-_ '-'''_''�----''-'''_''_-''-''---'---''---�--'-''----. <br />HN/\L INSPECTION Du*n m --' <br />----------------------------------------------- <br />130 South American Streat <br />Stockton, California <br />S&NJOAQ0NLOCALHEALTHDISTR|CT <br />30mWest Oak Street }am Sycamore Street e|* North ^c^ Street <br />Lodi,California Manteca, California Tm"v. California <br />