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� . <br /> � . <br /> ^ � APPLICATION FOR SANITATION PERMIT PemitNo. <br /> - � � <br /> � � ~� <br /> 8,k* r~~^'~'~ ~~r'--''-' Dofo.\�uo6m�����-��. <br /> � <br /> the San Joaquin Local Health Dist ric+ for permit foconstruct and insfoUthe work herein 6es6ribe6 <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS A3a LOCATIO ---&,?t;46PXP - --- ----- ---------- - -40WIA-------- -r---------- <br /> Installation will serve: Re6clenc Apartment House E] Commercial E] Trailer Court [] Motel E] Other E] <br /> Number of living units: --/--- Number of bedrooms ----7-/Number of baths J--- Lot size ----67.6-XI ----------- <br /> Water Supply: Public system E]/ Community system 0 Private K Depth to Water Table ft�. <br /> Character ofsoil toadepth ofDfeet: Sand <br /> [ Gravel 0 Sandy Loam <br /> Ej Clay Loam [] Clay El Adobe-& <br /> Hardpan <br /> Previous Application X'a6e: Yes F1 No R< Now Construction: Tes~rmu � <br /> Y ' <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: ! <br />' <br /> '(No septic tank or cesspool permittedif pu6lic sewer is available within 200feet.) ' <br /> Disposal Field: Distance from nearest we�i__,=S ._Distance from foundation------ ----Distance to nearest lot ------- <br /> TyRe of filter maferialslw D pth of filter material---- J-Z-0------------....... <br /> Remodelinq and/or prealring ------------------- ----- ....................Lu <br /> ------------------------ <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. <br /> (Signed)---k------ ----------a---6- -- ----------L-----------------------------------------------------------------(Owner and/or Contractor) <br /> .(Plot 1p�an. showing size of.lot, location of system in relaf'on.to wells,..buildings, efc...can 6 placed <br /> . <br /> APPLICATION ACCEPTED BY DATE'-----..---.--'_-_--__- <br /> RENEVvED ' D/��. <br /> DU|UD|N<� PER��|T |SSUED-_�-_----- ��--------- ------------------------------- DATE-------.-----.---..------__---_- <br /> AKora+ions and/or recommendations-------- --- ------ ------------------------------ ...--------------------------------------------------------------------------------------------------- <br /> --- '-''--,'---'''�-.''-'''_-'''_-''''-�---'''-_'-_---'--'----_''-'--'-'''_--''__'-__-----_-'- <br /> --__.---------_-_--.^---------._-------_--'_----_---.__-_----,-_-_.__-_- <br /> -----'------'--'--'�'-''''''-'''-''-'''-``'''-_'''__.''--''-_''---'--''-_''---'-----'--.''-- <br /> '_'-_'��--'-'-''--''_ '''-'''-'-''-_'''--'_-- '-'''-'--'''-'-''''_-''-- <br /> ` <br /> ��. 2, T_ _ <br /> FINAL INSPECTION BY:------'~�'..��.��.��f�4�v!.-- um�a-��---.�u--c -��--..��-.�-.--.----- <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> /so South American Street 300 West Oak Street 132 Sycamore svre.w 8/4 North ^c' Street <br /> Stockton, California Lodi. California . Manteca. California Tracy, California <br /> sx-9-2w vv./^"a W-x/oo <br />