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` �� p��� <br /> / p[\C���\���� F��\� SAJ�\\��/�.~^ ' PERMIT <br /> ~ <br /> _ '' <br /> in Duplicate) � <br /> (Complete �6e� <br /> �6 to H`� ��n Joaquin Lo:o| Hoo\Hn Di��ctfor o permit hocon�mcf um6 �nuh, f�e*vrk herein described. . <br /> ' \ hereby m �»�cq�cJl�n6e ��6Cou�y (}r�io�nue No, 54,. ___. <br /> T6l, opFJ�nf.on `oma"" . i ^. 4L -_-_�____..__.______ <br /> JOB ADDRESS AND LOC/��|Um-'-----------�-.~ __---_�� ________--_._____ rno°°.=,��..___f� .~, <br /> �� / � ---)j '____..---___--_._- <br /> � N �^-' ^- °~---- ----' <br /> Installation will serve: Residence �& Apartment House E3 Commercial 0 Lot size--- ---------------------------- <br /> Number of living units: Number of bedrooms a Numb6r of baths <br /> -9) � system El Private El Clay 0 Adobe Hardpan ON <br /> Water Supply: public system;< Community . andy Loam El C�ay Loam <br /> a depth of 3 fee+- Sand F-1 Gravel El S <br /> Character of soil to <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> 4~~ oavailable within <br /> nu, cesspool permitted if public sewer <br /> 8oo*oG� ta �on- � ' � o \ <br /> __ <br /> Distance ,pmfoun�� / depth-------- <br /> '��------ <br /> 6eo6cTank' Distance fn, nneor�,t °�U --'--' odty-'F���- <br /> .-�Su � <br /> �-'''- <br /> Uning _LiquidMe No' ofco�pnrtnen�----6�~----- �npmaterial---------' <br /> AN Distance from nearest well-----------------Distance from foun6u+-on-'-' _ <br /> Ce~r`-� Sbe- Diameter------'-------Depth_-------- - _ '--------'-'- <br /> - <br /> 0 Distance from nearest well '----''__'__'-�__._'Distance from nearest building <br /> Privy' Distance to nearest lot |inn---'--''''--'---�'-- Distance nearest lot U«»-''----��' <br /> �� reswell --'Di�ancafmm foundu+/on�-_____� Depth------------------------------- <br /> Distance to nea <br /> F1 Idation -------Distance to nearest 0 <br /> .Disposal Field: Distance from nearest welL.-- Length c�i each line----- --,,w;dth of french------.4,_x------------------- <br /> --''--'----' --------------------------------- will 6ndone in accordance w"" "~. ~--`uin County_ <br /> ork <br /> I hereby c !I�S4 gula 0 s of�-_fhe San Joaquin Local Health District. <br /> ordinances, State 41la s, an rues an ft 7 , I I <br /> ----------------- <br /> (plot plans, showing size of lot, location system in relation to we s, <br /> R DEPARTMENT USE ONLY <br /> SAN JOAQU)NLOCAL HEALTH DISTRICT <br /> |30South American Street <br /> Stockton. California. ' . <br />