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FOR OFFICE USE: <br /> ` <br /> APPLICATION FOR SANITATION PERMIT Pmm� N �� <br /> ple+e.iDuplicate) - <br /> //62 <br /> ---------- ------------ This Permit Expires I Year From Date Issued <br /> — � nmit to construct and �nk k <br /> / T*1AAJ <br /> Application is hereby o San Joaquin Local Health Di`+ric+for <br /> This application is `ad" in compliance with County Ordinance No. 549. <br /> Phone-61-iXIS� <br /> Installation will serve: R -louse F1 Commercial Trailer <br /> Number of living units: -- ----- Number of bedrooms 5.- Number of baths ---I--- Lot size ----- - <br /> Water Supply: Public system 0 Community sYst8m El Private M Depth to Water Table ------ - ft <br /> Character of soil to a depth of 3 feet- Sand Gravel [] Sandy Loam 0 Clay Loam El Clay Adobe [3 Hardpan El <br /> Previous Application Made: (If yes,date....... ---- No 1�r <br /> TYPE OF INSTALLATION AND S4CIFICATIONS: <br /> (No septic tank or cesspool permitted,if oulilic s�wer is available wi+hin.200 feet.)-- <br /> Zw— <br /> Septic Tank: Distance from nearest well----------------Distance from foundation-.----------------- <br /> Disposal Field: Distance from nearest well---�!�---Distance from foundation....ZP__..__--Disfance to nearest lot Iine__,-� ....... <br /> Seepage Pit- Distance to nearest well----c�.�_O-------Distance fLo-m fo4ndafion---/P---------D f ce to nearest lot line----0---------- <br /> Cesspool Distance from nearest well -----------------Distance from foundation.. ...... ining m <br /> 'o- I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> rdinances, State laws, and fyIes and regulations of the San Joaquin Local Health District. <br /> showing.sjzec�df lot, location-of system in re a ion o.-we si- ul I gs <br /> FOR D RTMENT USE ONLY <br /> �FOR�DA�RIMEN, <br /> ` <br /> Alterations and/or recommendations--------------- ------------ --------- --:---------- -------------------------------------------------------------------------------------------- <br /> � <br /> ! ______________`_____--^---.-_-----------'--------------'--------------' <br /> '------'----'''---''----'---'''--'—''---- <br /> ���������� <br /> , '—'--' _----'''---'-----_—'--''--- <br /> . ''--''_--''---'_'----'—'--_ <br /> . --'---� -���- � �^ <br /> / ^~ <br /> FINAL IN /' )—. --- Date------- --.-�� ......5--e�� -------------------------- <br /> SAN JOAQU\N LOCAL HEALTH DISTRICT <br /> . 1601mi4azoonAve. 300 West Oak Street 12^Sycamore Street 205West'9thStreet <br /> �a California Manteca,California Tracy,California <br /> Stockton,California '� ' <br /> E.H.vow'~n Vanguard Preis ' <br />