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APPLICATION FOR SANITATION PERMIT Permit No. ---Z-7 <br /> (Complete in Duplicate) <br /> Applica4-ion is hereby made to the San Joaquin Local Health Ditstrict f a.permJ to construct arid install the work herein described. <br /> This application is made in complian�ce ith County Ordinance No. 54 . <br /> Installation wiii serve: Residence, parfent House E] Commercial E] Trailgr-,Court Ej Motel F] Other <br /> Water'Supply: Public system'Ej Community.syst El Private Depth to Water Table ;5-Dft. <br /> Character of soil to a depth of 3 feet. Sand Grav el Sandy L am E] Clay Loam Ejj�Clay E] Adobe E] Hardpan F] <br /> Previous Application Made: Yes F Cor U <br /> o seplfic tank.or cesspool permitted if public sewer is available within 200 feet.) <br /> Seepag�p: Distance to nearesi weII_.I"_7V11VV,_,_Di,fanc f om foundation---- Distance to nearest lot <br /> ---------------- <br /> I red this application and that the work will be done in accordance wifh-San Joaquin County <br /> ­ia and rules d regulatii s of the San quin Local Health District. <br /> ordinanc),,s, ate la <br /> n can be pl ced on reverse side). <br /> 1fid reg San p, <br /> A14 L <br /> w e Aec_ ..... <br /> (Plot pla" . showing size of lot, location-of system-in relati to W611 . building, Pce d <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY <br /> KEV|EVEOOY._-..�.—.------- ---� . <br /> DATAT '-/ -_ .�- <br /> ------------------------- <br /> BUILDING <br /> DAT <br /> PERM|T |SSUED.-_-./--''-' � �-_' <br /> -'-'_-''-_''--'---'''-' ' <br /> Altarmtionsand/or recommendations:------ ----------------- ----------- ......................---------------------------------------------------------------------------------------------------- <br /> -----------------'-'----''--'-''_-_'''_.---'----'''-'''--''---'-'+'''-''--_-''_-'_-.'-----_--_---_ <br /> —'------''''--'-'-''-'----''--''—-'—'''-'''-'- ^r <br /> -'-'-'--'-''-- --------- ------------------------- ----------------------------------''''-''-'''---'--' '-'- <br /> --''--'---''----- - ----------------------------------------------------- --- -------'-'RN/\L INSPECTION BY:-.-. ------------------ ----\----- ------------- Date----- --. -- <br /> -JOAQUONLOCAL HEALTH DISTRICT <br /> /mm s*"m American Street 300 West Oak Street |no s'cmm"m Street ow North "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> ~~ <br /> ES-9-2M °54°°,°" . ,Z-° <br />