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� <br /> ~ APPLICATION FOR SANITATION PERMIT Permit 1,40. ----- -- <br /> f <br /> Date ` <br /> herebyApplication is <br /> made to the � <br /> This - - ^ <br /> � . <br /> --- . - --, . ''- -_`~ ...., ~-'�. . <br /> � "�`%�l- <br /> II IF I I <br /> Installation will serve- Residence K �' rfmenf House E] Commercial Trailer Court E] Motel Other 0 � <br /> -Nid-"er of living' --- Number of bedrooms Number of baths j--- Lot size -----/Is�----x- ------ <br /> -- Supply: Public system`- X Community- system [� " Private F] Depth to ``~'~' 'a-b"Character of.soil to a depth of 3 feet: I Sand E] Gravel E] Sandy Loam E] Clay�Loam E] Clay E] Adobe 21 Hardpan <br /> -^�' <br /> ~v <br /> Previous Application"Made:�Ies Ej No DI New Construction: Yes E] No X �FHA/VA: Yes D No <br /> TYPE OF INSTALLATIO' N AVDV-EdIFICATION' S.) <br /> . -- i i <br /> (No septic tank or'cesspool permittedei�pu6lickewe'r*ls available within 200 feet.) <br /> Is <br /> Disposa 'eld: Distance from n rest well------ ----------Distance from foundation.--- --------------Distance to nearest lot line--------------_ <br /> Seepage Pit: D�stance to nearest w71I__ Distance from fo)/ndation.... Distance to neare�sf lot line__,,_5. <br /> D�stance from nearest well-----------------Distance <br /> Di'stance to nearest lot lire-------------------------------------------------f----------- '77— - ­_ --- k <br /> I hereby certify that I have prepared this applicaf;on and that the W�ork will be done in ace'o'rdance with San Joaquin County <br /> ordinances, State laws anda rules a d regullatfions 9f fhe San Joaquin Lo�al Health District. <br /> --------------------------------------------- <br /> s eow n g &,0 0 location of sys em in.relafion to wells, buildings, etc., can be placed on reverse icrej. <br /> (Plot plan, <br /> FOR DEPARTMENT USE ONLY <br /> i w <br /> � '''-_-.''��-_.'''----'---''-_--_---''�----'__.-'-_.- <br /> Wm�-� --^~-�-' --' �-----------//,---x�-'------r�-----''------ <br /> -'---------'-'----' <br /> ---'*--'----- ~ ---�-----f-------------------------------------------------------- ------------------ <br /> FINAL IN5PECTION <br /> -----'-' K45PECT|{ W QY'--- 0o —,,r7�- <br /> SAN JOAJU|N LOCAL HEALTH '.! <br /> �/.. <br /> � <br /> ' /30 S*"m American Sf-�i' ` amWest o° s�°° /xosv�mo�s*ow v/+ N"�k ^c^ ��°° <br /> °" °�°° °�"° �=°t.^ <br /> Stockton. o��� Lodi, o��ia Manteca, California Tracy, California » <br /> . �+ <br /> s�-v-- w uo.isv6 1'57 rrco� <br /> � . <br />