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| <br /> �� ��� ��� PERMIT Permit No. '-4'7,2_ 1 . <br /> APPLICATION / <br /> in Duplicate) <br /> Date |sm^nd <br /> ' <br /> mu6� +o H`o San Joaquin Local D��Hc+for u pon�� to co <br /> on6 installthe work herein600c66o6. ' <br /> 'application is de in compliance with County OnJinom`o No.,S49. , <br /> ------------------------- A 0___ <br /> \nstaUatinnwill serve: Residence �r`panmvn` ."=° Commercial. 0 Trailer Court __ Motel Other - ~� <br /> ' Number of |i�ng units: ^^ <br /> � .. Number of bedrooms -�~. Number of baths __Z... Lot size .� �~��----_ <br /> Water Supply: Public system unity system El Private F] Depth to W_ ate' Table4-d ft,+_ � <br /> w <br /> Character of s�| � m6np� � 3 ��� Sand � G�� � Sandy Loam � � � � �o � <br /> Previous Application Made- Yes No Construction: Yes 0 No El <br /> TYPE OF INSTALLATION K�N AND SPECIFICATIONS: ' <br /> ---- ''� septic tank �r �w�p�o permitted QN | Hto6 ifpu6kc sewer isavm3a6�w�h\n 200 ffeet.)' <br /> Septic Tank: Distance +rvm-noapest wuU ion _kutariu| .. <br /> ----_-- <br /> -__ <br /> --___�i�oncm fn,m fovn6u+ <br /> [ Nn� of compartments . �ze . Liquid 6 ot� C�ou�tv '-'--- <br /> � <br />. - - - - �,�n� � n�_�� �t |��.___ <br /> ----------------- <br /> Disposal �u|6: Distance from �-�� well ` . ��n� from 6m�o6qn <br /> LNumber of lines - Length"nfeach line Width of tn.nc� � �~ <br /> -DepthType n[ G�ormofer�L'---'-� [ filter material Total length . �� <br /> � <br /> �/ .�~- nearest �t |i ^��. - <br /> Seepaqp Distance to nearest <br /> -------------------------------------- <br /> ' Distanceto nearest lot ona-.-�---..-----___-.____.__�-��,_________________ <br /> Remodelingand/or napalr;ng (6eocribe):-------- ---------------- ------------- ----------------------------------- ----------------------------- ---------------- .___--___.___ , <br /> --_'-'-_-'---_-''-__''-_'''--'--'-__�-_''-'^'----.'''-''-''-�''---__------'''-'-'-'--��_- <br /> ' ---`._-__._-�----__-..__�_--_--.----I-'-._'..',___..__-__�_--.-._----__'_--_-_-----. <br /> , __-.--��'_-''--'__.,-_-'-_---_-'-''-''''_-__'''---'__-__'''-''---_'-'' <br /> -----'-----------'' fh || | 6 fhtth k 8| 6 done in accordance with San Joaquin County <br /> � <br /> (Signed)---_\6-__ ---- ------------- <br /> (Plot plan, showing size of lot, location of system in relation t wills, buildings, +c., can. be placed on reverse tide). <br /> ' <br /> ordinances, Statejaw&,�'and. rules i 9%,Llaflons of the San Joaquin Local Health District. <br /> APPLICATION ACCEPTED BY - ------------------------------- <br /> ------------- <br /> -------------------- _ _ <br /> KEV|EVED BY _ ____ <br /> BUILDING PERMIT ISSUED._---_. � - <br /> Altonationoand/or recommendations:�'-'_.---__'____�'___.___._______-____.____________ -------------------------------- <br /> ------------ <br /> ____^^__�______ <br /> ___.___ <br /> ----_-_---_-_____--__- <br /> -._.--_----_-------_-_-------.�-----.-_.__._------- <br /> --'--'-''-''''-'-'-�'---'--�'''_''_--'-'-''--'''--'''_-.'--'-''--'-''----''--`'''-'''---'-'''. <br /> ''''-'''---''-''''--'-----''-''-''----''-'''-'-------' <br /> '--'''-'''-'''-'--'--''_--''__--'''-� <br /> ----------------------- -------- -------------------------------- --------------------------------- ---------------------- ------- _'''''-_-'-'-''-'''- -------------------------------------- <br /> - <br /> �r�� ~+ ^� _____________ <br /> RN/\L INSPECTION BY�..^�l��0~r���� -- ---.----_-.-- <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT ` <br /> 1 <br /> oo $v"+k American Street 300 West Oak $*re.w mo Sy"^monoSfre° _ 814 North ^o^ Sfr ° <br /> Stockton, California Lodi. California W*"tewa. California rm:v. California <br /> E"-°_`" `45^°^`"O"" ,,."^ ` <br />