Laserfiche WebLink
1r1w A,- <br /> � <br /> Permit No. <br /> APPLICATION FOR SANITATION PERMIT <br /> ------------------------------------------- (Complete in Duplicate) Date issued "-,91jqZ16e <br /> -------------------- This Permit Expires 1 Year From Date Issued <br /> Applica-tion is hereby made to the San Joaquin Local Health District for a permit to construct and 'install the work herein described. <br /> This application is made in compliance with County Ordinanc 0 o. 549. <br /> J{}B ADDRESS AND U��/��|{}N'.l��'�.'}��'��-��-r.'�FOR OFFI S& <br /> �*���� -__—__-_-_'---------- � <br /> - � <br /> Installation will serve: Residence E] Apartment House [I Commercial [] Trailer Court 0 Motel [I Other <br /> Lot size <br /> Number of ","'y units:" ~~- '`~^-- - bedrooms-- -����� -� _ - ' <br /> -- [] ��� [� D�� � ���rT���� wc <br /> VV�o �p��: Pu6|k: ��om mmu�y system Depth . <br /> Cha-��r '^a�| f� a ^onf� �- -`.� Sand E] ��ruve| [I Sandy Loam [] Clay Loam [� Clay Adobe <br /> Character <br /> Hardpan C] <br /> '~ - depth � Yes E] No [I' <br /> Previous Application Made: Ufyes,date---_.---} Not—NewCon,truct|on' Yes 75 -No. � FHA/VA. <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (N* septic tank o, cesspool permitted. if publicsewer is available `�M6(n 200 fe*+j/, <br /> ^ <br /> Septic Tank:-5 Distance from nearest UJDistancefrom foundation '1 & Material <br /> 6 . <br /> Size <br /> 6.e -�-' C i+y <br /> Disposal Field: Distance from nearest weII__M_wN.j�_-_Distance from fo.unTatio_Pn�/.,&__' Distance to nearest lot line------J7.... <br /> Number of lines--- -----------Length of each lin;l <br /> --------Distance from found' t <br /> Seepage Distance to nearest well <br />' Privy- Distance from noamst �eU--.-�'--_-=---.�-�---Di�unco from nonn�rnu//dmq-----_-__-__ <br /> Distanceton�ora,t |o+ |in�--------_.--.'._-__..-_.--'--_-'___-_.'__.___'__-.__' � <br />| ^~ � ' ~� <br /> ' � <br />' xcmooe/ng oou/." .ep= .g (describe) -_. - _�______.__^______________________.______ <br /> --�--'-�----------------------'^----^-�7--'~������ ' _________.________ <br />. --'---_-...�—._------._-_--.__----__._'�-'--_-_--.__.__-----.—.. <br /> . ----�'--------�---.'-----'''----.------.'--'-''.---'—'' <br />` —'--''''-'�-''--'-'----''----'''---' andI hereby certify that] have prepared this application that the wmr will � <br /> 6e 6�ne�h` accordance San JoaqWn ��un+y <br /> ordinances, State laws. and rules and regulations of the San Joaquin L��Health District. <br /> -------------------- <br /> (Plot plan. showing size o* lot, n "" " ~ <br /> location '=" ~»''~ ~ - -uil-3/ "` etc., can be placed <br />' F 4EN/ USE ONLY <br /> | ~'`'� -----����� <br /> ` _-_''__.''--'-----'__'-_-'--'''---_-'-_' <br /> -'-----------------------'--'--' <br /> '� —''''-''''--'-''-''''-'''---'--'-'-''---' <br /> ' —'-'-'-- \ <br /> U�� \ /�7~ <br /> U \ �mto--'''���'-''���-�--/�,=�---------- <br /> RN/\L | ^�yo�""-^^—_.�.~='~.'.L <br /> , <br /> | <br /> SAN JQAQU|NLOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak Street 124 Sycamore Street 205 West 9th Street <br /> sto"m"".California Lodi,California m""m='California Tracy,California <br /> ' °-°",.,=",`" 6.150 <br /> ` . <br />