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FOR <br /> 01, 1 U �6Permit No.R SANITATION PERMIT <br /> el? ;-APPLICATION <br /> / r---- <br /> Application is hereby made to the San Joaquin Local Health District for"a permit to construct an <br /> This application is made in compliance with Counly Ordinance N�o. 54 ...�% . <br /> 17..... ------ ...... .................. <br /> Contractor's Name.., motel 0 Other El <br /> 'railer Court 0 <br /> lnstalWion will serve- Residence Ujj'Apartmenf House Commercial E3 T ...... <br /> mu~o=r of living" units:^ j— u' ber of bed <br /> tem[` [] p,�a+a '� ot noY�ute' T«6�4��^' ft <br /> I C, Gravel D Sandy Loam n Clay Loam r7l - CiaY 0 Adobe w�1_illdpan <br /> Characier of soil io a depth of 3 feet; Sand 0 No 9��FHA/VA:Yes 0 No <br /> No D Now Construction. Yes <br /> Preylo�& Application Made: (if yes,' <br /> TYPE OF INSTALLATION AND Sk'-CIFICATIONS- <br /> I rn;1iffed if public sewer is available within 200 feet.) <br /> 0 d ""bistance from nearest 11-5,40--_Distance from foundafi ".,Width of tren6....------ <br /> ge Pit: Number of pits�.../ ---Lining mafdrial- Size: Diameter—.3.3... Depth <br /> Cesspool, Distance from neare ...............Disfanc -----gals. <br /> f that I have �Frepared this a] Joaquin Local Health District. <br /> ------------------------- <br /> rse side). <br /> BY to ells, buildings, e+c.. can be placed o <br /> (Plot plan, showing i e of lot, loca'tion of sys�am�i� iation w <br /> FOR DEPARTMENT USE ONLY <br /> V7, .................................. ......................­.......................... <br /> BUILDING PERMI <br /> '-__..___. -' _---.�__--______-_�.—'---.______'^... <br /> ____--___'----'--'~---�r------'---------- _____'—_---'-----. ---........ <br /> ------'^''~-----------'------------�--� � __ <br /> / � �' � .�.�_� <br /> Date--����''/�'��---�^'—f---�---'���� <br /> RN�L \N�PE��Ti{�W 8Y:����._���_______________ <br /> ' <br /> SAN JO/0QU|NLOCAL HEALTH DISTRICT <br /> ' xo*w°uo�s�°* " 1n*s*"m"�m�. »sw"*v*o�, <br /> ' moa��«M° ="e�° Marww`m"m"�m n"�.c"m,�w <br /> Stockton,c"o�,rm | �"x/.California _ <br /> cs 9 nrwosn o',p cw o'au «`L^o . <br />