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<br /> �+PIaLICATIi�N FOR SANITATION
<br /> ATION'PERMP Y , m
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<br /> r' (Gamplefe rn Duplicate] Date Issued #
<br /> hr ttloniS hereby F c,'. ,:ail'.
<br /> pP madc'ta rho Sen JoasjuEn_ocal Health Drstr[c+to a permit to construct and install the work here `•.estr'6 ��
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<br /> This ��iCation is mads in compliance with Countyan 0 549
<br /> &LC.AT er s Mame
<br /> ,'rl�It�SS4 r i sc,�7 ;. hon _
<br /> Contracfior..s 1Jan�e:. Mrytol `C�ihor I�ia3d 5k�
<br /> [ler. Cogrt Ij >. .
<br /> .Tio x q
<br /> mercia!: :°
<br /> Ar enf'House:[]'',t.,GOm Y�t• , -'+: ,j::'sF �FriA�
<br /> _ Reside lca t P� %a�{ ti.► ,�, - -
<br /> 1:Ssffnll�tlOR•+lrlll serve - N -r of 10 -Loi Site 4 -r - '+r�
<br /> 1 ;'hlumbar of 5edrooms +� umk�e atl+s
<br /> fk lu ober of liv4ng ur+ixs rw ''t ;
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<br /> .51_ _ - r � �IrTiVai@, ter,�'ab[e•� ' 1'�_�;'��-£
<br /> ^'ei"., Supsly Publie system ❑ Community sysfism = Adobe fl�4-lard�l�ad : + r��
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<br /> Grave! •Sandy Loam Clay[� "
<br /> and ❑ a� �
<br /> ' ,...1•^ t$r of soil f014:depth of 3rfaet 5 ❑ {F'
<br /> 1-F•lCrus'Al7plrcaiiQn Mad$ aYAS-❑' clew C&StruCilon YeS y T + - iLi r
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<br /> ND Sl'ECIF1CA71ON5 ' ' < �t r
<br /> i t lel: OF-INSTALLATICi�i Ax z '
<br /> x y
<br /> + t r Jv y 7:�'r y T',AF• P iy<y*�M1
<br /> (tSo;Coptic tank or cesspool permitted if publl6 sewer Is available wish n 200{aet�/
<br /> i Ma eraai� .r9'�
<br /> r Dls#an from foundation,v
<br /> :er ank Dlstarice from nearest w �A 1;LLrquid.'a�o�ti� 4:} Caaei4yr ;a'?
<br /> :No ..cf comparfmorits ' Size
<br /> .•:, � „� ✓a r� � TJrstencei;io nearest at one..
<br /> Dist4ke frcirti foundation Y
<br /> y+ Distance from nearest well
<br /> ., ai Field
<br /> 1 r Q° Width of.:frencbaa
<br /> Length of"each line x
<br /> r,Nurnborf 61-lifl'eS. -
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<br /> Dth of rfilter�maisrial
<br /> � -Ty}�e af,fdter.ma`•enal .��
<br /> "Y r `' Distance From fou�detlon` Destanee`to near9s�lot hoe x�i �.� `
<br /> D[stanca 'ro nearest well: D'epth $ r
<br /> i oepe a I?if , - x " .. .. Def ',. : , e' �4nr -
<br /> Linin material
<br /> © Nurnbar of pifs:. 8
<br /> . at is
<br /> Dlstdnce from nearest well Distance from foundation n�n9ii'? err
<br /> Lr er r I �7 "' '�,.
<br /> .ray C:rs - -.�nl: - v ,_Llqurd-Gapgcityh r+y �Sgalsi' ,s^ ,
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<br /> :Jlstpnce 'from nearest wel!
<br /> Cance from nearest bulldmgm
<br /> DIS ✓ ✓ '%3' "
<br /> Distance tQ nearest lot line ,,f
<br /> as
<br /> fremocseling
<br /> t+nd!or repairing {c#oscnl�e}
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<br /> " p P x p lieation'ind Chef tha'wbrk will be-done in accordance with San,Joagmn Caunty
<br /> I ire-chy certify that I have 'rn ardd .Iris a p f i4 is`� K as
<br /> srlc�s. State taws,_and rules and regulations of the San Joaquin Loeal Health E+istriti
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<br /> Ey' .-...•» relat'ro to Webs;burld[ngSi etc.,-.can bepiaced on.reversesrd$].
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<br /> (Plat plan, showing siz$ of lot; location af-System in
<br /> —- FOR DEPARTMENT USE 0NLT:
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<br /> i J9;DENG PEitMIT ISSU ED
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<br /> INSPECTION by /,._...... .............. .
<br /> SAN JOAQUIN LOCAL HEALTH DISTRICT
<br /> rc`! 814 North C••Sfreel
<br /> 300 West deo Street' 132 Syeanon Slnel r'
<br /> 130 South American S+rea+. Maolece, California Treey California
<br /> lod[
<br /> Stockton, C,elifornie
<br /> California 4
<br /> v--Ttil a0-s:Revised W2100
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