Laserfiche WebLink
FOR OFFICE USE: APR"1CATION 1OR SA?":V"' t yea <br /> �rUr Permit jo. <br /> OWNP10110 iia Trgrlh <br /> Is,rae+ <br /> TM*Nertalt Ergines 1 Yew heal Dow <br /> Application is hereby made to the Son Joaquin Locol Heohh District for a permit to conVIvO and instep the work herela+` "� <br /> tkdMam�-No, 549 and existln9 R ' <br /> s described.This opolication is made in/�compli�n.0 wig TRACT , <br /> i JOB ADDRESSAOCATIO <br /> " s Nome �'� ., :►} .e ..«...�... ; <br /> •� • ., ; License# �! Fm" <br /> CoAftoeMr's Name .. .. . .. .'. .. .: .,........ • A <br /> Rssidence�'Xporfrrwnf 1�eusre l Court [] "" x .r <br /> Installation will serve: ; <br /> Motel(]Otherat. .:; ... <......: She "d <br /> Number of <br /> ber of living units• <br /> ..... Number g ' ■/Y{{ <br /> it_¢,{ ..R! �~ ,'.� a' F.. 'YPsYMH,tM.W+.«..w-+...• �r/�� t q k' � <br /> sm <br /> ,WWer Supply: Public System and name --. Suny'Looen C7 Loan+ <br /> t; w <br /> Character of soil to a depth of 3 feet: Send[� ,..,+ Q $ <br /> Hardpan❑ . A30,61 dill Moterbl...... <br /> �.if yam,h►p�► <br /> tn�tetalten'to:wspst bulkprgs► � be phsad on <br /> verse sidti.I <br /> w <br /> plan, showing size of lot, location of systwn iso►allobtewthtS00fiett <br /> ,,tNlW INSTALLATION: (No septic tank or <br /> �` e1Y+\`{ '��`3 a •w» «r $ ,c <br /> SEPTIC TANK i] � - ..:......�...�...... »- <br /> PACKAGE TREATMENT (] ompoetmerots .»..........»....� ' <br /> Capacity MaMrtid....�•- .....a <br /> po ,. ..... .. <br /> yp <br /> ¢ �I ftp.uno <br /> •+�`�"""""`���` <br /> Distance to nearest: ,. Total ......:.......+► �x <br /> " LEACHING LINE [ ] <br /> No.,of Lines .„ w... Log* "Iter Malarial 4 <br /> 'D' Box . . . Type RINt 1tl1e11etlol �: :. <br /> ...... <br /> pi"Oty line ........w...,,.«... <br /> Will }^ � jFaurKlotiett ....�.»..•. ; <br /> e Distance to nearest► - ` x Rack PAW y” 01 <br /> k�'x'SEEPAGE PIT `I 1 Depth ...............� <br /> Water Table Depth .,.....�. ..�.«»..,..�..•• •. ...r.�.. •- <br /> V1hi1 <br /> „ datien».................. 5 <br /> Distance to'nearest: -W^-"�1 •] �<�, <br /> PennR e# <br /> WpA1R_/ADDITION Prev.Sanitation •�•-.. ..» <br /> uirements) ..... """" .. 77 <br /> - - <br /> Septic Tank (Specify Req . <br /> Disposal Field (Specify Re10 A00, <br /> quirements) •—� � , <br /> •' If ......` <br /> ��;PAZ 4j Draw uhi�dndtlitian on nrverse. .. I '( whh Sena. <br /> I hereby cWIfY that 1 haw Mnpand This gesNek stir) tltlit`IM`wsrh.w-1 ilia lane M atesrdanee <br /> Fr. sif,the.Ss>A 4ea,rlis Noel iNalth pislrid Herne own** <br /> T 'V <br /> County Ordinance, Sieh Lom, and Rubs wrd Nri !. . <br /> SW agents signature cKdpa 1M fellewlMs +� b ,I X11 rN1�>•�tNt� <br /> IN IM w <br /> "I twHf y that iA the perferrnanle e1 0"0 <br /> uteric lar iNli�eb IMb M <br /> as� subr to W ns eR glNetnia ' � <br /> Sigma ..'. .. <br /> By <br /> (if other than owner) <br /> DOR tti>SPU" ONLY : <br /> P ` + APPLICATION ACCEPTED BY �. ..,t,. ..Y. �..............DiA <br /> BUILDING PERMIT ISSUED........................... <br /> ADDITIONAL ,COMMENTS <br /> .........•..........• ..-.•.... Vi`µ .,.......•....- ....« <br /> .... ..................•... .s. .ate-'.. .awN tM+e1',ap�N,�,a ir.4w.:,Iw• .. -� . <br /> .... ................................................ /A - p -...w1.:..... ..x ., .... ..� <br /> Final Inspection bye •.. . .. , <br /> y N',,JO QUIN LOC :;HEALT <br />