Laserfiche WebLink
Pill �t4 <br /> PIPMAMM FOR SA <br /> fco in <br /> �. <br /> P <br /> I Yr <br /> t slued <br /> 4 <br /> Apption is,herel�• madee Sen Jca <br /> " Y yarn Local Health District a t =:" {1 the Work h <br /> This applicati is made i t <br /> f., -0rclmi nce No <br /> . W. <br /> .ls.rl%>ss A# 1, <br /> 71 <br /> Owner's Narr + +' <br /> Address _ 77f <br /> tr <br /> me - <br /> v Residence [ Apt+t'ttt�ehtHpuiO,Q Corrrmsrcial <br /> er Q <br /> Tr Cca r# <br /> fr ofs4+h <br /> ms <br /> Lot <br /> Charas of saal#cad <br /> cf 3 teat. Sand Q Craver[] Sandy Loam D lay Loam Cla <br /> - v v D ,�t�be <br /> Prevro #lon Made.,�If +es;date,.-- 1 No (sem New Construction• YesNo YesWE <br /> TYPE, 0 <br /> or - <br /> - <br /> Sell#i T nlc: . hence from nearer}.*,red !F T TOM <br /> No of compertmen#s <br /> Disposal Meld: East roan Capacrtp . <br /> nle4 r x+ �„ ",� .l rstan�e frosxt � .Distance SEs t lr _ <br /> of n <br /> 3 - <br /> Tape of'fitter rnet Iapth of fiber rnatriak� ` ' � <br /> Seepage Pit: ' Dstante to neaFes#welta -� <br /> ,r #?istance fr foundation---_ - .r....E <br /> s <br /> [�', Number of ptts ` '. Ltnter rna#aria{...' ! .Size: Diameter__._�� � `. <br /> Cesspool: Listante:{ " nearest Well-,:.,��, �E3istance from fa�ds+tion <br /> {xe l ternetex Lining ma#eriaf <br /> Privy: , <br /> Distance from nearesf <br /> 4 " ❑ Distance to nearest lot lip <br /> ----------------- <br /> a•. <br /> Remad 'ng.and/or repairi (describe} ', ! v <br /> ^� <br /> ! tiereb�r � ............. <br /> dlrtsnces, state laws;arrd= end Chet the. w "be +dan+ q.a r' { <br /> t ;pian Joaquin <br /> /r g : <br /> " } , �c t <br /> Qt ni fhoWiRl� Slie of wed; <br /> c on <br /> 1e , <br /> R IIIi u.7��l�:Y . <br /> v <br /> APPfrTlD BY <br /> J. yr y <br /> _ DATE 't� <br /> 5 <br /> l PERMIT 1S ;. <br /> . a.x M` x <br /> y��y(` S'�r✓ ^iS <br /> N � �.M r LL 4`•."AHG ..,....`µms:. ..e3.p-y. ...is.br <br /> lot <br /> ...: <br /> .w,. <br /> K <br /> MAL .INSPECTION BY:.... <br /> Date <br /> kt <br /> -r <br /> 5adkkiy CwWwnia kodt,Cai(tatnW 205 Ylt Y t x <br /> z <br /> TiMilill <br />