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APPLICATION FOR SANITATION PERMIT 41. <br /> (Complete in Duplicate) <br /> T�plicafion is hereby made to the San Joaquin Local Health Dis�rict for a permit to construct and install the work herein de crib d. <br /> 's application is made in compliance with County Ordinance No. 549. 0 -t- i <br /> -------------------- <br /> JOB ADDRESS AND LOCATION_------ <br /> Installation -will serve: Residence DS Apartment House El Commercial 0 Trailer Court El Motel El Other 0 <br /> Number of living units: E] Number of bedrooms RL Number of baths I Lot, size------ ------------------------- '*--N <br /> Water Supply: Public system [I Community system El Private <br /> Character of soil to a depth of 3 feet: Sand E-] Gravel Ej- Sandy Loam E] Clay Loam El -Clay 0 Adobe Hardpan 0 <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest well-----------------Distance from foundation--------------------Material------------------------------------------------ Q� <br /> Disposal Field: Distance from nearest well----U.6--_Disfance from foundafioh---4Ar_Fk�7D1sf_a_nce f-o-n-e—arest-lot line_AQ,_N_,�_... <br /> Type of filter maferial_0�8_ v -L-!n--Depfh of filter maferjaI_AL_'_erA?AVC- <br /> ------------ <br /> I hereby certify that I have prepared this application and that the work will 6e done in accordance with San Joaquin County <br /> ordinances, State laws, and. rules and regulations of the San Joaquin Local Health District. <br /> (Plot plans, showing siza of lot, locaflon of system in relation to wells, buildings, etc., must be filed with this applica-rion). <br /> FOR DEPARTMENT USE ONLY <br /> � _-_.._-_ ----------------------------------------------- ------------------------------------------------------------------------------------------------------------------------- -_-.-_.__-- <br /> --- ''--'--''--'-'----'--�-�--� ---m-�--''----------'-'---------''----'---'-''--''--m--------------------- <br /> -------------- <br /> --'—'---' <br /> -__---.^-__.__.-.�_--_---.__-`.'----.__..__--___-_---.___-___--.__--.__--..__...�------_-' <br /> _ --�-' _�. ___' --__''_-^'_-'_--__ <br /> ---___'__'-_.''-_- ^--.. ISSUED-- - -(Do�� FINAL INSPECTION BY: /_A� ------------------------------ <br /> .PERMIT <br /> ' <br /> N - . � D - <br /> ~ ofe_.'--__-'''--' '-------' <br /> ^ <br /> < ` -~ <br /> SAN JOAQ0NLOCAL HEALTH DISTRICT <br /> \30 South American Street <br /> Stockton, California ^ ' <br /> sS-9-2M9-50mw637 <br />