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'r vw yr rrw.L VJC -7�';ORM, 4M <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> P011100e in Dvpllcilft) <br /> Thr" Permit Exsnaas 1 Yar From Date lowed Date Jrwed .•.f <br /> Appucatior4 if hereby ntede to ft San Jo"u-n Local Naa:th Dw-ict for a iwrn r to construct Ond MAel1 the Fwain dgcnT»d. <br /> *%.,rhn appliuton it Meda w compluacew.th Cee:^ty Ordinance Yo- S49. - ' 'O�:•� l PG 1 <br /> , 1 ow <br /> J4! ADDRESS AND LOCATIbN771A� <br /> Owers Nerve Sl.D_ R ............_.......•.... <br /> cen!49to"s NOMe. . ..Oe+ls-�.1. �-\..._.._—.. _.._. . ..... ._. . . ......._.............._....._.._._..__ h10M__......_._....._._..—. <br /> fsptegaiiea wBl esrre: R"';den /lpatnnaat stow. q3 coramerc;al D Thier C^0 10 twtetel pf ofhr p ti <br /> Ntz of Wing rn;ria..L.. Number of bedrooms ... __ Nernber of betfn �� Lot tae-...._. 4Cp EE....p <br /> Went Supply: Public systent,`p CovernAmity eydern O Nmit*WIDepth to Wets Tab& /.5_-ft,_ <br /> Character of w0 to a dapfl o1.3 tete Sand 0 Geral 0 'Sandy Levenf8Clep^Ltei a p� ctiy� Adobe❑ Hardpan O <br /> =r SPP n-h/ e�.Ineyes-elo*e--+ .1'=1�k1$�•tAli�+Corefi C&iwsY?iT 'b- `FHA7VA:-Y:ip• 'Ne'� -� <br /> TYPE OF INSTALLATION AND SPECIFICATpNg; i <br /> r�Ne upt7o tens w casywol Permi/hd IF p1AYi MMer k"Iva " eiMi 2B0 fMl�, .,� pRE-F7T0 CONC RCT <br /> 5*Dt��in1; '. ' pstente from neraet +_ell. .T►p. ..DistseJe <br /> '� �'•� No. of compartments <br /> O'tp W Fieb' Disterce from neonates wiri .SQ „Distance from foundationA Dist p to nearest tot lye..., <br /> "t -Number of lines. .. s+ '+.. _.Length of each lire - 20 Width ref twnch. .. <br /> - Type of Dtar nato_id R0C-*"%­ ta�. 1' e . .._.., .. <br /> - .DrtpM of Filter me � w ETofd,JM+gt 4Q7. <br /> se"" P:t Sstene. to Merest weal .Distance from foundation ._ ._ Mstence to sear"+W fine.... ..__. (� <br /> Q 'Number of pits. Lining mabreai.....-._ Sae: Dwaeeter i . ..Depth _ ... ... <br /> Cn,pod Distance from nearest well Distance frorts fowsdation .. Lining meterwat.. _ ...... <br /> ❑ Ste: 04"few Depth ._...... _Lydd Capacity ...... <br /> gds, 1 <br /> 044mee fnom re <br /> neast rrei_. .-. Detente na <br /> from arateIan W q r <br /> ' Oisienee ro nearest lot line._ ....... .. •__.. _ .......... _.._,....�._ .. . 1 <br /> I <br /> Remodeling and/or repairing (d"c.ibel:_.... .... .. ..... _ ......... . ... _--- ------ ,. <br /> _. _... .. ........... .. __ ._ .. '► �_ <br /> I hreb rerhfy that I Aare prepared #N% Oypflcation and Ant tlw weA WJI us <br /> y 6a done aowrJaasr sdlL Saa tJeerpla Convey <br /> o'd-+watts, Sta�bylaws,.an�d runts and regdatisaa of the San Jwquin Lout Health pshicl. <br /> By-- ------------------------------- ----- -...._._._..._ ..... ifltt l- <br /> pw Pb^• Aoi+bm0 do of bt,a"no of eya/erw ie rdaNea to wetb, "W11% 94a, cant be pinoW ea rerena dd4 <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCE"ED BY �TnR.O. ... .. . ...... .. .. DATE /:2 / <br /> RMEWEO BY ..... ~... _ "A. lE/ . _. _ ........ . . DATE.. ._... ..... ......... <br /> BUILDING PERMIT ISSUED. ._ ....... , . ..__._.. .. ..._ _..__ . .. GATE__ _.-__...................._.._....._........__ __ <br /> ABwatians ead/r tewrnewa, e4"._ _ <br /> .... <br /> y. <br /> HNAL INSpECTi Dab <br /> SAN JOAOUIN LOCAL ME41H DISTRICT ! <br /> 130+wee no w„r e,e#ani. _ tea Srr�,r:timing eN went e�la.t i <br /> radar.cew...ra - t.rn,eM+,wji: ', na..rr.,crew hien,cYaewate , <br />