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<br /> AP�'LICATION FOFt.SANITATION:PIEIiMR . Parr. .- .:c:?�
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<br /> I , (Corr,Iefs es Di+PT,este� Date Is~ued ,��/���
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<br /> This Permit Ex fres Year Frarn DStA issued 4XI } +,
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<br /> I ,'a Application is.hereby made to+I:a San Joaquin Local HeaM Di,t cf for a aerm;t fo consf-s+ct;rr �mstah+he 'o harem drsscnped
<br /> This applit�ticn ii made in csmpl;ance with Counfy C1rd`nante No 549 ,,� .4.n4t � rk f
<br /> x- _'S r �a�'.0„ �f" b'n�.N�..r'� c- y t-eu��l, lSi J� .Jt.. '- _ $� I:
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<br /> .IOB ADDRESS.AND LOCAT[ON _! � �"a��{-- r `��`''
<br /> f '+. ^ Own�7 _Nat f , l _ ,errs 01
<br /> ;Qd ress ! �r_. :_It_
<br /> r_,,r Contractors Name = �
<br /> A tment Hoye C Cornmerc;el ❑. Tre;ler CoJrt Q M-,- Other © A; t,s a<� t'
<br /> lnsfiallatien wrll serve Rss�dance p ' ' ' ! }` '
<br /> F' ;Number of lrv;ng unrfs Number of!edroasrrs _Number of baths
<br /> J .:Lot size w af 'rf.r
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<br /> . .r. Wates -5u l 066 1;c sysfem ❑., CommuniN:system ❑ Pr;v+, eDeprh +o Water fable ;;--ft ..
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<br /> ,s�r,y PPY ,
<br /> Cia Adobe[1 4 ardpaa 1, ' �" '
<br /> ' f tt `'. Character of sod +o a depth of 3 feet: Send❑ Gravel Q Sandy Loam❑ Ctay Loam❑ Y GHANA Yes�] i'iia[�w� �.`.
<br /> t No New Con.trucf;on Yes ❑ Iii.. ❑ . i- �.r, ,�
<br /> 'W` Previous Application Made {If yes,date l ❑ 11 11 . v,, }
<br /> Mrd t ;F ti`s TYPE.OF]NSTALLATlON AIJD.5PECIFICATIO JS. `{ `
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<br /> 1r: ? �} s i _c {Na-saptrc-{ank or cesspaol permit Fnd if:ryubl;c sewer rs__aveilable•w,thtn 200 feEs x 4` r, " '�+ r"y IN ,,-n-,. .
<br /> J. r i O Des#en a �m f u clef; �U Niatenal t!
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<br /> S F Septic ask Distance.from nearest w `f• �i Y quid de th f�. �P�ifY a �
<br /> F,n y No of;compartmelts /' !i.
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<br /> '; t , i Df stark from foundation
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<br /> -ridares
<br /> x " 4 `4xr, rs%o teal D;sfance.From nearest wcll..� •-_... -Q" W dfh of trench's t!Z'�stande -:01i ; �IA F
<br /> Len fh.of each hne... r
<br /> sr }. i F 9 i%
<br /> }vim_ 'f-of lanes..... ' Totalklengfh �� " '' :1...0 _:
<br /> �11" = l z ` ` Typs o f'Iter mefer ai ��C .. Depth of f+er:maferiai. 1 rf m v F '
<br /> 1. JPO �. . D�,tancs frorrl founca+tor %V.:. ';.D'istance fio nearest lot l,ne .,
<br /> Z_ w' J '" Distancs fo nearest +,alt- a. !_-4.m., -
<br /> �; ''3 a E _ SePDe f if: • _ �* �' D9Cth
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<br /> Linin mtlter;al. �-? p: Size Diameter , €�? � r ..
<br /> Nurlber of prfs .:. f g �, f w. �. 1+e
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<br /> Lrmng mafena r- �(�.
<br /> a ..sal Dis+ante frcm foundation
<br /> Distance from nearest well
<br /> ,;Y. h i,.r' a S;re Diameter .....
<br /> �` ,'`els.
<br /> ti,
<br /> Depth Ltquid Caaufy K; �. � .
<br /> Distance from nearest�6uildmg tix �` . �r _
<br /> 3' }_. i °,� r p„ D�stonce frxn nearest well ;�ti_,w' �' " � �"
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<br /> • r } p,stenee'to nseres} lot lrne s ' R�� .r�� , �� t¢ -� "' CS"
<br /> ��C', +Ili% Rema�F ting:andf or're pinna{dais ribe� `
<br /> k = 41.q 14: k RV
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<br /> ;` ~I }iercby a ertify,that 1 h+i�e prepared this applrcation and+hat.the work wit! be done In accGrd--Ge Wi+fi 5,i , oaqu i,Cou^4+Y� F
<br /> ;.• State`lews;and rules enc' regulations of6 tlla San Joagmn focal Healff! Drsir`c+ '� �'" X fq
<br /> rr- ordinances. 0 u �^,onf-_ - . `,
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<br /> 3' {Signer} _ l l'e.: e}s .y Ap 'a '.trJ - 'x•.
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<br /> 45.r.'.F , p �V i l' IS.'S 3-'�so Wf R'.�i ` �-�+�E.
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<br /> .` ", W: s6owtr. :size-of lrt Iota+ion of syr+em In relation t sells bu!ldings .etc tan be Iaced°n reverse sda} r- � I , I
<br /> z {Plot plan a -:. rr_ r f .
<br /> _ —" r. g -----'a USIw ONLY ;t ',tr # irks v t�i
<br /> FOR:D1PARTMEI�R E r �,
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<br /> DATF �� Fac �Y9� .rr� + $
<br /> Al'P�ICAT'ON Cr'E
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<br /> �° �'`RE�lEW1 D. Y
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<br /> sr. },; $E+ILDIPiC:PFRMIT ISSUED:_
<br /> r-1,11- . ..�,r .. -Al•erafions and/or recomrtenda+ions -In 7
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<br /> c F) I , ,_ F <e- - •4; , s,.r., Y .1 aye 2Sfl .txF �',,, s.
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<br /> 3 ' _�� >`, �i Date �V �5
<br /> Flyd A :INSPE� IC y °Y: :'r "�, +�1a .�
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<br /> w SAN JOAQU t HEALTH D1SII , L. i� �'` yi s
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<br /> IN LOCA H :
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<br /> :OD West Oak Street, , - : -1, � 12<SYtarnwe Stint e
<br /> 20S Was19t6 Streit + � y,.
<br /> { 4 1601 E Xo:+Nen Aril. - - - ,i iraK..califorria '" �'}
<br /> Manreco colOwnto _ + -
<br /> _ - '.Lodi,Galifareia r k-
<br /> r '�'� Stacwion,eadilvenia ' - f
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