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,�.f j� . 0 Js - <br /> I- b rI. - _ i, y + <br /> 1. <br /> L h y /iY''L <br /> ! ! , ,-'v: f r.- F _ ' _ -- \ b '�r"1 ppt{. <br /> i <br /> kv f x6 n, r,�i,( Ir fS r. S x f y�_ �.. , r !' u 't ! aa' a�sf �� r <br /> :s�si^$ 5�.. A.Uc F7 -"t,�1.. yF° `; ^ >;'•� _ r t ., �r_+ � -s,.ti,P frr '>< �Y'tN,.—,-.�- <br /> sss axr <br /> i,: rOR G FICE USE , t vl `� <br /> > ' <br /> s; a,�, ',, 4 APPLlCA1aON ;FOR SANfTATION PERMIT 4Pe*mr No <br /> r, w" A � t <br /> �,nx+,-Y#,. S , t"., , •� ::(Consple#e iM1 Duplicate) :; 1. , K k* F rr'°' ? <br /> I r •j ;::!....:-- : ir$s'.1 Year Prom Date Issued g d X ' yV i " 4` <br /> Da+e issue <br /> This Pdrmlt Ex t" f; <br /> f 'Y' Applicat,oR is`rhereby:made,ra the San Joaquin Local Heblth District for,e'permr#+o construct an�f install the work herekn described <br /> �4 A <br /> ' .YThrs a Inca+ton rs made m comps ince with Couri#y Ordinance No 549 f{r/�,/]' r s; U- E„ <br /> �o'' ,iY �ppr r.. ,,s.. --r X �. t " ib��q r S' - /Vs.lOq�yrx, r .rf^�" . <br /> ,(� <br /> yy..�, :,tJOB�X SS AND LOCATION .cp ✓. � / q/ <br /> �_31� rF. ; tr..Ll •��{3r r�yr Fl::. y r / '../ �° U rr ... t PhOn$�W I�JC�, q, rte. 9 <br /> l ,, 'r Owner s rName, t . . � Lam/� 11 ..+ !) �/ s 1,�A, <br /> a �iF � 'ry fi ,$,?q d ��" '1'�q'�R /I IT+ w �s { ,.' r .111 <br /> iP9.�,u1Addrsis c E- rr - r ; , �F �,rwrt <br /> ��R, <br /> r�k Asa) r�.:',ta �' r t t w F" s n t /_res �y <br /> oCon♦•r6cfor sx Name i /.S ./✓..'� Phorn kir r" . <br /> , F;r )� c' s <br /> �1 113 5 Y 1 p . 't t' , .,-. _ •• <br /> ;,lnstaliatlon will serve `fiesldarceApartment Mouse°`Q' Commercial ❑ Troller Court ❑�:Mote'lQ �OtlieT�© ° h� <br /> � « `" 1111. <br /> 7'�X i Num�i�lller of�rv,ng units`Y s Number of bedrooms f J i�umba� of baths Lo# sixa w 4 <br /> :GGJa § f i"f e.�: -E, _ ., $ _ qr i"r_ rblti' .v3F°, ,ksr .�, <br /> ��r 1` n ��` a �Pr,vefe De th to Water Tablo,�� if `,j"rl ;..,>�ak„ <br /> 4I �lWatet-Supply �Publie system ]I Communsty system;[] ®r P d {,r,'7 �i s, ?" 11 �F�`�`f � <br /> {Hard a <br /> �'�Charaef6r of sora to a ciep+h of 3 feat ' Sand D. Gravel ❑ Sandy Loam❑ Clay Loam[�ClayrQ, Ac'ote,❑Wlil , � <br /> J , `ti 'f"3 fFk'4 <br /> ��� Sg ` 1 KA a., ` (.f es date"` };No [ New Canstruct,on ,Yes,❑ Na�FiA/1I ,f-Y- 3$7'- floe'. <br /> r' ;�l'ranous Applicana x , .Y Y -r i'- >«va: *1L, :.a.y nL K"� <br /> Y ',+rte rrri r s 7'.>w 1 r `a. - - r rti, ! w .r arr6-Et r' 'r"j �i� <br /> 3 rTYPE OF INSTALLATION AND SPECIFiGATIONS �' . „- � i�c,n es. h 1��y <br /> ° ' No ie`tre,tank or cesspool perm,#ted rf ubhc sewer r�available wi+hrn 200 fee+) ti, �; , <br /> yy'"' ie , ,rpg,.�i{ Y °P ,� i ; , p , ��. ._- -.�, , -. „ ..,�r K 'wry',�:r'd ,; <br />{ xS,Y� °�•'R;� ,4K '!" �Y r??.r4�` C�T� ;�.q re v t l.' t: 0 1 r r l Moter,al 1..tW-!T T� � <br /> n rL . iso ,,}.-�d� rf atanca from nearest well Dlstanca from foundation. <br /> i r Rt ply � p ]— "` i5 to x3'/QX `>5 Liquid depth ?�rr� °Gapauty r .�' rsy <br /> No of tom artmonfs Sae �— �oF, ,..k,, - �yq rs J, <br /> �' '',6 �ki`'"7tp.�l l} z4_`+'1�; s t, _.,.:{z a ':.-- � 's" /'f. "} -_° r _'/ 4 <br /> Disposal Fiei : <br />