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K. I.'S Im 'P. <br /> . 114 17,1 .0 Vl pr <br /> Vt AS .1. .:'—�11 1-.,:- .� ....: " i� <br /> SAM JOA13MM COUNTY ENVIRONMENTAL HEALTH nrl'AHTMENT 1068 E.HAzel-TOIll %VCMUE-$TOCK+ON CA 96205-(200)460-"1-10) <br /> 00ill-i"EFUNDAE111 FERIMIT CAU.(POO) izo,,?FAISPECT-JOK; ExrIRES I YEAR FROM DATE ls,.;LfEli <br /> JUR ALIORESS CATYIZIP C\ 7-Z-0 <br /> Crinns 5'FRF.ET <br /> A"! PARCEL SIZE <br /> OWNUN'HAME P,.,(,,,r <br /> 0wNrP..*lr)nr.f-.qr GlTY/,;TAIC/7-IP <br /> "Of S <br /> -ITRACTOP hg" rl-iopir 2-0 q <br /> -..'ONTRACTOR ADORES$ --.,—'Z;1TYlSTATE-lZIP <br /> 0 (14 -L <br /> LICENSE UlIC-4.2 DIC-36 OTHER__4---� NUMBER F.Y PIRATIONnATE <br /> �n!ATrp.TAnLE DEPTH: -it GEOGRAPHICAL INFORMATION: C..rdinatas y <br /> BUILDINGPCRI1111 LAW)USE APPLICATION <br /> 0 PE1113.TEST T <br /> ::YrlL .71i�-IA[OkPKN <br /> '_ EW INSTALLATION I I I'zrP=.TA T E=NGINEER DESIrNFO/ALTERNATIVE <br /> : " <br /> REPLACEMENT 1 1 OUT-Or--SERVICE SEPTIC SYSTEM DESTRUCTION <br /> IIIISTALLATION 14111-1-SERVE: fi-TIESwENCe I I COMIRCRCIAL f'119OTHER <br /> NIUMPEn of--LIv1w;UNITS: ILIUMI-30,01:BEDROOMS: NUMBER OF EMPLOYEES: <br /> .f'17�4 .'=FPTICTANK Tl,'PEMllI*r4 GAPAGIT',' 3 tial I/OF C.(--MrARTMENTr__-.. <br /> C-!',.EAoETFZAP Twi:/MnG C-Al'A(;IIY 901 lAOFCOMPAFrrmrMT9 <br /> r.)ISTANCr TO NEAREST: WFIj. Q Fni 1140ATION it PROPERTY LINE it <br /> LIFT STATION SIZE ____TYPE OF PUMP__._.0 PKG TAPLAMT 0 SPJ-10 Oil-SEPARATOR(EMOLOSIELl SYSTEM) <br /> ,C—LEACH LINES I-' L-EACHI[NIGCI-IAMnEP.,__ /,.jr-LINLF. LENGTH Or UNES c' if <br /> DISTANCE TO NEAREST 11 F011NUATiO14____--..-_-fl PROPERTY UI IE ft <br /> FILTER(?,Erl winni it LrNGTf-i It Dc-PTH 11 <br /> DisTANCE TO NEAREST wiii.i 11 r 1II.R.1w,nol-I it PROPCRTY LINE it <br /> C' MOUNDED 1111113TH 11 LENGTI-I.---_ (I DEPTH it <br /> DISIANCL TO NEAREST %An--u.---- it muNrwrinw It PRQrERTYl.lWIF__—R <br /> SUMPS it I-ENGTI I DEPTH it <br /> nIS(ANCE To NEAREST It FOLINOATION--It PROPERTY 1-1141z R <br /> 17 Dr.POSALPOWDS vulliTji it LLNcl;F11 Ill DEPTH <br /> DISTANCE TO NEAREST V-T.U- n FOUNDATI01-1_ —fl r'POPIERT'i 1.114E_ ft_ <br /> ,K F;FEFIAGE PITS "Ill IMBER L7> FI <br /> DISTANCE TO il!EAP.rG,r %AlEI.1. if Pt,,Ljr,cP'ry Limir it <br /> IIIE13EP.','(-.ERTIFYTI-IATIFIAV17PREPARE:DTHIGAPPLICA,rI I 9PTI WORK WILL BE DONE:IN ACCORDANCE WITH SAIIIJOACILIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> r i 0 I/A NICE P 0 TIC- <br /> -L TITLE <br /> I I L I <br /> ..... --- ---- <br /> 019 <br /> cu 11 <br /> Awwc ulvry <br /> ...... ...... ENT <br /> -Po r <br /> llipir.ye.-ID11 <br /> r) <br /> --'At- 'ER <br /> 11RIT-Appinved hppey- <br /> (,.Ijapjr.jjej, toD(gAi nf:�Ft., Nllt/'�,Jvnlll Solt <br /> Cr MMlzNlT',3 rZ <br /> OEELA.� 4X <br /> ­--- -.1-1 -i <br /> r �x 41,4 tJ r4l I A� 0 yj <br /> 15 15 V <br /> ) <br /> —WAY- <br /> --Rpcocivecl I rfit, Permit l0fp <br /> s.L Ciji�,'cldfl Amolint Invoice 0. <br /> scolice RecIllp*'t It <br /> ,r <br /> it Reilliftoc? <br /> VL5 — — - , ' — — — -"'-7;. .? Zl q— <br /> .qoo I ---- - -1-/1_, _._ _ <br /> ONqJTE WAl;TEWATER TRTMWT SYSTEM PERMIT <br /> .111411B 12-43 KS,3�- <br />