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<br /> is harQby,made to the'ran.ioer;aln Locaf}i°al+f Dlstltct;,Tora parmrtA6 6nstructand rnsteliYtlrawa c +ee+eFndr:�rl ;,;
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<br /> ;-gin will serve Re,siaen `Apertm@nt i-'ouse : Commeraal [a w Trarl.�r Court;❑ t , i y
<br /> l +
<br /> Numb Of b@dioa�ns ' Numt�e� of baths : LOt�31Ie° L d ��1"c•" y
<br /> f *{'" Dumb@r af,rvmg Ixnits 1 t' � �sFs
<br /> Prw�te D,roth to Wafer table ftx `
<br /> ;, r supply Pu6lrc:systerr,U, ..Commun ty system U �Y r .
<br /> I,orat+or of soil:fo
<br /> 6.depll+of 3 fret �Sand aravr'�* 5endy;Loam 1 Clay I.oarrs Qf C`aY ]NIkt1oE'a 's` 'r
<br /> viors"Appl'aeation Made Yes Q No, NewFConstrue+Ion Yes No ❑ of �; �F
<br /> OF INSTAL�4T!UN AND.SPECIFECATl01`IS x
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<br /> i,, sw��tank or cestipoal Perm rttzMi rf pubCc sewer rs avaiEabEQ wlfhrn 20D foot
<br /> T t 1 Drs+an+<s from founds
<br /> , ; ; c ,ank DSFence .nrn"nearestwsk ` 4'�
<br /> Y
<br /> o �• Srze �? ,?rj, l , sdep+h YCepeGty,
<br /> Nar compartmonts
<br /> Distance from foundat on -)� Drs ancar4o neatesty�y
<br /> 1)Istanee ffom.n@e[es+-
<br /> y hs Number of lines I �br1C]th Of e0Ch 11np
<br /> rT u,of iiltrer ma+anal:` Dep}h of,filter rr#ayrerEst �?`�'Total (angth � � J°
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<br /> umber or ' �Inrn materiel
<br /> Drs+enc@,from laundailon 4t ' 'Llnrng matarral � z
<br /> ,pool; f DtStaneB om:,noeres+well , �kw r E r1 w„.+S ii'`r�` ► ''A*F�l ^` •+''E
<br /> x Dep+h wiz Lrqu�d#Capbart .� ....
<br /> Dlamete�'''` rx•-
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<br /> h" s e fromgnear�s+ b-Idrng
<br /> ,r Distance fror r,n@ares}well tP�
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<br /> Qo ,ccselin ane or repalrrng (deserrbe, � 6.
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<br /> have Prepared;thrs;applrcafrcn;and that the work wrll bQ done rneaecardance�withNSan rr
<br /> �4a�a laws, and rules and regulations of thu San Joaglain LocaR Neat#►Drstrrct �� Aw t
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<br /> nlaat'SLr4Wrng saP a'F lot, [ocatioa of'sys+em.in5relafion to welts, burklings ,@tC.,'Carl I?4�IaG@d O.cr@y@rfA'SIdO� -.M�}['" zkY$� + ;�x,,•��'.,,
<br /> FOR DEPARTMENT s--1 _Y ,
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<br /> DATE
<br /> I DATE
<br /> INS,PERMIT;155L ED.-
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<br /> SAN JOAQUIN Lc
<br /> "CAL HEAL TH "!STRICT � t�?
<br /> Oak Stt t32 Syumon Sine+ !14 N-A-C
<br /> 300 W�sF r�d "Sfrset ;
<br /> c io S.Oh American S4recr Men+ece, California Trety. Cdifemte
<br /> di,'California
<br /> Sf ocztan, Colifer*ie
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