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' <br /> FOR OFFICE USE: <br /> ` <br /> ' APPLICATION FOR SANITATION PERMIT Permit No. <br />---------------------------------------- <br /> �4. ~" <br /> ~ � ` - (Complete - Duplicate)' Dnfn Issued '-�1�l�I <br />'—.---------.----.-- <br /> This' Permit ExE!ires I Year From Date Issued^ <br /> ' Joaquin Local Health District for a permit +u construct andi s-MH +hewur herein described <br /> This application is made 'in co.mpliance with County �rkdiance <br /> JOB ADDRESS AND LOCATIOjN.,ozy-6c" <br /> Installation will serve: lResidence W,Apartment House E] Commi.6rcial �.O lTrailer Court El Motel El Ot,!,r <br /> Number of living units: ----�/__ N,umber of bedrooms ;---- Numb,: er of size ------ ---------- <br /> Water Supply: Public system Com m- unity system El Private Depth to Water Table ft. <br /> Character of Soil to a depth of 3 feet: Sand L] Gravel Sandy Loam E] Clay Loam E] Clay [] Adobe Er'gardpan 0 <br /> Previous Application Made: (If yes,date-----------;------- )�rl\lo Eg�New Construction': YeS.Ej No-gl' FHA/VA: Yes M No a <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> Wo seRtic tank,or cesspool permitted if public sewer is available within 200 f6ef.) <br /> Disp Field stance from nearest well----—--------Distance from founclaf ion A0 Distance to nearest lot line---15----------- <br /> Seepage Pit: Distance to nearest we1f__.____—-------------Distance from foundation Distanje to nearest lot line/'i------------ 00 <br /> . .� � .~ <br /> --'------'-----'-----'' ^| ''--'''-'----''--'�---''�'--'--'------------'-----'-''-'-''---- �~ <br /> ------------------------------- --------------------------------. ------------ --------------------------------------------------------------------------------------------------------------------------------------------- <br /> ~ . __- --- ------ ___ . ^ <br /> I.hereby certify that I have pre ed this plication and that the work will be done in accordance with San Joaquin County <br /> is <br /> ordinances, State laws, and rules-a regulat' ris of the San Joaquin Local Health District. <br /> (PlotIan. showing size' of t, I o Zca <br /> P system,in relation to wells, buildings, efc.,..can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> 8U|L0N6� PERMIT |S3UED_---�'.'''---_'-�*.�-'''�_�--'''--��__��_- �/�E..-_�------_._._._..__._ <br /> Akormt�ns and/or ,�opmmm ----------- ------------------------------.---..__--- ...______-_--'.._._-_________ ' <br /> , � <br /> -.----_--^----------_----._---_--_._.—_'_---__..`.------..,-.----.---____-_.-_-' <br /> � <br /> -'-------'''--_-_--'`''-----[ '-''''--'_-`'-''--''''--'----_'-''_'---_--'----.''-'--'''__--'-''-'--- <br /> . - ^ _ <br /> ---'-_---''_--_,-''_-'.-''--''--'—''''--''-'-''--'''''-''''-''-'-''''----_--_'-'_--''-- <br /> ' --------- ------------------------------------------^ /' -'''-- _'_-'-_..-'''-'''--' -- ^- <br /> �� � - ' ''--''' '--''-'-''-_'- <br /> FINAL INSPECTION 8Y---------------- ---' ''—' D*��.''-- -'-'_''-_____ <br /> . <br /> � - ' <br /> ��. ����U|N ����L HEALTH �|ST��J <br /> 1601 s.Hazelton Ave. < 30oWest Oak Street 124 Sycamore Street euxWest 9th Street <br /> Stockton,California Lodi,California Manteca,California Tracy,California <br /> m" ° REVISED B'59 x" 3'^3 "Ru". <br />