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APPLICATION FOR SANITATION PERMIT Pe•m•+ N, 4 4—
<br /> (Complete in Duptiaeto) ` t.+ay {
<br /> x { ... Dela irsired ..!a7 1
<br /> Ka a +o me San Joaqu'n Loce' Hee+h D str'e+for a err^r + " "'' k t'.12 r
<br /> s a r .n' s rise i r o fence
<br /> with P c cons r and jell the wprithero,F`Jiatnblld
<br /> Ccurty OtrJd'n�nlnc/n No. 549. r/
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<br /> " 's ' a a M Pa Mari House [_1/.t.�,Commercial. Tra,ler`Co- (]Y'Mo I O}her n r
<br /> 1nneCe^+on well rem Res jenv !rk
<br /> baths +;' Lot size ..: .:
<br /> - ' _ - �7 "� a era ppiYsystem j,] 'Conumf1s slrom r �'Deh"aafar
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<br /> able
<br /> Ci ere ,Y p'I tc a uepth of 3 fear( `r �� C a [' Sanpy LLoam❑0 ley Loam 0 / ay?
<br /> P'e` oua Apra Ca+ Gr Mede at J N; Neh �. .f..^#'b^ Yea
<br /> a� r INSTAI-LA�TNON AND SPEC#s-,CAT:ONS 7tQ-' �iY yds
<br /> soptank c,r cesspool perm,t+ad if public sewoe is available wit In 200 ' ) �� t
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<br /> i! Je t Park. D ^, n 5"c we 1/k<0 J'�is#a icey"rem f j,o o f v�. 'a+ern I �,�'-'(�a`�
<br /> Y €4 j t Y o1. , r dei paG
<br /> r o=Drsry�q G s'n,., D Oance from fo.,ndn+<n. 17-174 , ante 'c naeresf I
<br /> '.unnq#h of each ine.. 90 . ..y. o+ tranchT"fd$ is
<br /> e• na :,Dooth of filter mate^nal
<br /> S^-:ce - ^^area o' D sfenLe from founde icn_ ...:.... . a' �" f
<br /> ��= _ s-once tp nearesY,.to
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<br /> i',S'ze' Cia Me`or .. ..:, Depth;... �.
<br /> 'r "m-ce rum nacre=" Hol' _ - Distance from founds Ic.n ^`ng
<br /> zF D;a ar Do in d"Cep Ver
<br /> ......... .. ..D;,fance from re buildin�a�<
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<br /> I hereSv.certify ibe+ I hove prepare hs application andihat 1 rk
<br /> orr:",,_,,,.$tate laws end. u'cs and r'egu1.f{ons of +be San Joequ,n Local Haali
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<br /> 'p!of Y a sk—r , Silo of lot location of system in relation to wells, buildings, etc., can bi placed reya'YgWi
<br /> FOR DEPARTMENT 1,5E ONLY r�! 1 I�1111
<br /> -= DATE
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<br /> SAN JOAQUIN LOCAL HEALTH DISTRICT
<br /> .c q..„ '..:4 r. Sf,"w+ 1aYJ WoYf Cek Streit 131 Syumare Sf,.rt 8i4 NeHF "C"Sfrwt
<br /> F ES-9-2i), k d W-2100
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