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_ <br /> - <br /> -APPLICATION FOR���� <br /> . SANIoAxmON PERMIT Permit Nc._!:.�. <br /> (Complete in Duplicate)' ~ <br /> Dote Issued <br /> ^ made to the Sun for a permit to construct and install the work herein k <br /> This application is made in compliance with County Ordinance'st t <br /> 549. <br /> DRESS D LO <br /> one�? <br /> Installation will serve: Residence <br /> Apartment House-E3_�`Commercial El Trailer Court E] Motel El' Other'E]­`----- <br /> Number of living units: -- ---- Number of bedrooms..,-9 <br /> Number of baths ---/--- Lot size <br /> c ' "_� Community system Private El Depth to Water Table ft. <br /> Character of soil to a depth of 3 feet: Sand El Gravel Sandy Loam E] Clay Loam E] Clay El Ado <br /> PreVidus-Applinfion Made: Yes El N�� New Construction: Y No Hardpan <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: !11� <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Distance from nearest well---------------:_Distance from foundation <br /> - -' ^p"' .=or�- ____ Material`l_ <br /> D� �� --__.- Liquid ooprCapacity <br /> c�y_D � <br /> ` <br /> -Distance from foundation-- <br /> Ku�nj�jr.qi4i es <br /> Seepage i ti Distance to nearest <br /> -Y, ----------Distance 7Tf f upa <br /> , . ---_ ~ . <br /> Cdlssplooi: Dista' <br /> 16, <br /> Lce fi-om nearest,w I ell-----------------Dista- ncg from foundation------------------- Lining material <br /> Privy: Distance from nearest well Liquid Capacity.---------------------------gals. <br /> � <br /> S nd r an regulatiois of the San Joaquin Local Health District <br /> I hereby certi that I h red this applicaiion and that the work will -------- " <br /> ordinance', fa a be d'ne'ih acZoidance with' <br /> ._- <br /> (Plot plan. showing size of lb location of system' in relation to wells, buildings, etc. ------ <br /> can be Dia on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTE[i <br /> Alterations and/or recommendations': <br /> '-_._ ' _ -_---''--' -'1f--�-'--''-�'�''�--i _---_.`-_�_ <br /> / <br /> '—�-�-- <br /> ----­------------- <br /> -- <br /> '--- <br /> -----_--' <br /> --- <br /> -- _ _ - ---------------------------- - - ' ' - - -'--- - --- - - - �- --- -- - - - '---- - - - - -- ------------------------ <br /> ---- <br /> '- <br /> RN/ L INSPECTION BY '�''/-'� = ''!-------. --- -------- <br /> TH <br /> SANJOAQUQNLQCAL DISTRICT/sp South American s�*� 300 West / Sycamore Stockton, California 814 North ^C~ ��* <br /> pS-9-2wRevised °�x/oo California Manteca, c�k��� Tracy. California <br />