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j <br /> A I l.lvr _ .......... <br /> a. <br /> f M �y <br /> � T <br /> WOW <br /> -Permit <br /> Date Issu+od <br /> _Applical+ion is hereby Made to;th�"S, iaquin Local fi lth'District for a permft'to construct And iix ail tE►e word hersirr df�cribed,. <br /> This appl cation,is fnirrle r corrip9fari ri irritl+ County 044ace ko. 549 <br /> JOS ADDRESS AW �OCATI ry '�1� ... <br /> Ownees Narne- '" hone <br /> Address„ <br /> , <br /> Contractor's - Phone .. <br /> _. <br /> kistall�r#ian N serve i Apartment Nou> ❑' .Comn~tercial_ } Cam. Q <br /> wi <br /> Mo#el ❑ <br /> Number+f living units; . Number of bedroofits _ <br /> __. Number ofeths`._..I Lot size <br /> W rlb �.r�fF: <br /> iKater <br /> P Commiifty systim ❑ Friva#e, l Qep#i} tz� a bfet <br /> e ! ❑ savtl j Sandy lssllc � ❑ Httr ❑ <br /> Yes ❑ `►�: � � <br /> TYPE OF INSTALLATION Atm SPECFFI�+►TIONS: �' <br /> saptk #adlt lr c+tisspool pe+ d i#po sewer.is avaVable within 200 fee#a <br /> Septi <br /> Tank: Ditar+co frprn <br /> tie w I e Dis#a fQ i <br /> #ov at' _w._..Mater <br /> Y <br /> t ": •___ <br /> Noy a :cfitl i��1Nf5 �, f,� <br /> $iz9 "�,_ -Litt Cf Giapt Cacr#y <br /> �- <br /> h - <br /> - Qis#anca f near +w.ell+ :_..- Qs}aface 4 <br /> from foundati - p�stafti :to neargst <br /> Disposal field: <br /> f lirfesf r-�- <br /> Numb es-a � gtWidfi of �`»• <br /> . �, h �bf each e <br /> Tysi of filter eteri zy bpth of, :filter ma#eriat 4 y-- --Total taflgth , J <br /> Seepage'Pit: Di of e.t no est I Qls� #k>! <br /> ._ Qfsiertce from f6undatiar - o i►e is <br /> Number a t ,- Lining motorial................ Sita: Diafne#as laptk <br /> ❑ f ,..... <br /> sr t <br /> Cesspc l= ` Dittante ,"h isearsst well .Distance from {c i t#ioiY �.r_.i fining maieresll., <br /> [� Size Diameter77 --Depth. Liquid,.Coaly:: gals. <br /> F'rlyy: l te�sca <br /> from,.,earost Distaftics f nearest btiiildinq <br /> ❑ fln�a fv iearosfi lotllno - <br /> Remodeling and/or repairinc` descrFbe) - <br /> ...._.__.` •••. -. ••. vk..... ..... ...... ..... ...........: <br /> --- ---- -------•------ <br /> . -------------------- .. •...... ......................_, .::. - __-___,-_..��.. ._ <br /> 1 wfN ba done m acaord#Inrlt + County <br /> ordinan"s- ; <br /> or fi stator <br /> (Plot plan, sho g sIX$of b# lotion of system in reis#ion to walls, buildings, eta, can be {laced ori rlej• <br /> APPLA>�?l�;AG _ QAC <br /> ntt�� i {� - y+ +�$ry,( _.••a.s �. ,� .,F.a <br /> mte atC �n �r��C���� yik.s- a.. » -+a. e%�bzW*• w e+r ... •-.r.a '. <br /> .a.: •r«-w#?max. _. m». r4 <br /> _.� :._.. <br /> FINd. Tl <br /> Ji <br /> •. ......... <br /> SAM JOAN-* .LOG ►L IE..,RL--M Df1ST#i1CT <br /> 130 Sontlr American hrtat 300 Wo:f Oak Straat 132`Sycamore Supt $14 MWA "C"Ste t <br /> Stockton, California" Lodi, California Man#p�, Cylifernir Tinel►. CaNforaia <br /> _ <br /> M <br /> _2 <br />