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<br /> F6s OFFICE USE:
<br /> APPLICATION FOR SANITAIIONiWT � �� w&
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<br /> This Pen ! !n 1 Year 14wa EfaMlesr� �F �
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<br /> Application is hereby made to the San Joaquin Local Elacilth Dittrkt ler,(1 Mn11F.lO, `if
<br /> described, This application is mode in compliance whh Coui ry OfdhW"W,549:61W10 do 01 d11d �illr�dilile
<br /> 'f
<br /> .eft .. 1fI"� YID
<br /> JOB ADDRESS/1.1 ON01
<br /> Owner's Name ..`.u.:wdro.nn......�..::w
<br /> Address ..... I... .......
<br /> Contractor's Name...... «...f�. Iftsiti<�101II
<br /> _ � .�f"(N.��"
<br /> Installation will serve: Residence j9ApartmeatH6V0j]Ceennweda�GTIOW"Caiiirt:1
<br /> ali
<br /> Motel rwMh'}�
<br /> Number of living unitse ... Number of bedrooms a+ "Gaioye Qrlffd�fl :«:: FdrS�i. w {..� s
<br /> Water Supply: Pu II Y .................
<br /> b c S stem and name . .:.`:......... ....: ..«....�...:,.....
<br /> Character of soil to d depth of 3 feet: Sand❑ SIIt.Q
<br /> Hardpan 0
<br /> n §
<br /> ,.,•x.c�'fl•,� �.�1Y'.'�w.�,� �.'' ..,+...'k�. �� :,r sfev4+' ;;>r :i ,'.fig �a, .'ice
<br />_ ( p . ... $ i. I
<br /> Plot ltrn sttowin size of lot location of s Itefolatlbn� n aiE >� 011
<br /> RN-7W7
<br /> NEW INSTAUATiON INa'seoft tank or seepage Is.dinatlolblrt vYE lf1t1�00 fiN,ym
<br /> PACKAGE TREATMENT (} 'SEPTIC TAMC{ i $�Ik� �
<br /> Capacity..................
<br /> a
<br /> f Dist6fioe to nearest.• Wel( ` '� a "" �.:..... � ►l
<br /> LEACHING Lik E I°' No.,of Lines ... ,�" «+ 3 M
<br /> D 8a6i .......... Type.11I
<br /> .lfiftldrr k� ''
<br /> T E�
<br /> . u
<br /> + h�tits f��' "S��'�'N�`� 'iF
<br /> Distal to nearest: Well - r ,. _ �9:..; w.. 5�.... ir".�.. .
<br /> r 'a a' ••t. ii � 5'�u�H" .,.�'"�uAr ��, f'" "P
<br /> 71
<br /> SEEPAGE PIT '[ I 7 Depth: ................ Diam
<br /> rfir ...:.x. ,r.�. ,. Felt IgYa� Q Nd+�
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<br /> ! Water Table Depth �.,...i...�. S�i►�,:�..»°�'.,».�.� �-�'�,��
<br /> Distarioe io nearest,Well
<br /> REPWI(/ADDETION(Prov $q�nligNon Permit ........... N ." .� ,,.. . IIIOi!.�.i�.::..: ..-�—.._: +•Fx rd � ;
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<br /> t Septii Tank(Speeify Requirements] " ' Sw,---- R y� .. .:... ........ �.:�..�..., �I.
<br />-, ....... .- -.� -
<br /> D al R ( fyl!=RR'equlremeMs)
<br /> .�_ 'S ' •; ':;�sR�r ' 'ye Rf�z�y a ?''�'wr a-..cz$iia t5w2•q_�p ia, }�,s�' �:-
<br /> .s. ..... -. ....... lr�w.•.a.i.F..�.iil.0
<br /> � b tk '�I:•
<br /> Dr ow existing otd af! -
<br /> xl 1 y !t'sl M ;ity�'i sv �x1 � 'srw�i� -
<br /> � t1e/ebr kMlat l;ha�peepaed tEtls A�pl;ay t���'��_ tt•�lyE� f _-
<br /> Counttl,OMtnanees. l4tale laws,ane Rules end71-
<br /> ' `llle °Iac � `'
<br /> sad jy�= etrtlfles ltN yr �yx��y y �. ;
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<br /> w!^••w ry*�•Y•+ J �i �:rt'r��� _ Rb. ���`Hv"� m`?+F' � ������ `�i+�91
<br /> 111 taltlfl►that M t11e eia of III#*week fur wi*ft Vii'; Ell
<br /> 1s awli r 1 r i eii�lry Rc lMr�l
<br /> tps'to Ilat011r�eubl+se�t0 Wefkfnae' pansaAbw k#M1e� � a� wti F��}�}� � sy
<br /> Signed.. h.......... .r .. ...... x ` A'"r..r..t�'3r ,5_VwlAs', *• ti _`k' "r4�f.`.� �w' .ww .. % �'
<br /> By .........
<br /> (If other than owned
<br /> i...'•. •ti .s� ati �•�s� �"s' ,.3Lsw*�-�.1.,�.,�• '�i�� °i �'�9 Y
<br /> ' r'vR YaT��t�'.���_ _�--✓_ ... .� 4p .- � y'"k� .� 7 x 'e`+f'a n�`#�^A,
<br />' s f iA •5. �4b.` YJFr' � ��.. �f''4
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<br /> APPLICATION ACCEPTED BY:----
<br /> BUILDING PERMIT ISSUED............................................
<br /> ADDITIONAL COMMENTS
<br /> .... .a.n..... _.... - - .aa °.ar.w....«w:w«a7aa.:-,�:.......a.. Ct
<br /> aan y c v nk, i res m,a. � y r
<br /> . .. .......... ............................. .... ................
<br /> InspectionpbFifl . ..rs..a... ...�`.a.•• Ji it 1�►.ii�a.r'e>q,. i.
<br /> ...
<br /> SAN JOA0Ut-4 LOCAL HtA * lSfl '
<br /> •'b$ iter. SM a MkwAy x;
<br /> 5..'.. . ...
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