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FOR OFFICE VSE, <br /> A.MICATEON FOR SANITATION PERMIT <br /> .. _ Permit No. 74(444 <br /> ... . lGwyANe is t'IpueRN) .. <br /> r <br /> TMs Perinil ka uh"l YeN Press Da»Isswd Dale hsued <br /> AppllcWwn is hereby rrgtle me IM Son Jeaauln lad Health Dimkl far D perm,p M constriAl and install she wOrk heels <br /> described.Thy appl,cNiwn is stook in gomryph,,o, with Courcy Ord4wrxe No. Sap and existing Rules mod ReovlamP , <br /> /06 ADDRESS/IOC�T1am . f�/ /L�. 4 �U CENSUS TRACT .. ry.�.. . ... .. <br /> Owners Name �/?!�•.. ._. . j,2sc._.RA.Z .. _..Phone f3.31l..7:....,. <br /> Add.ess . /y$.1P.� _..5�...SEX Td.K._..417111 . 1 1 City SG.eJLaN. �aYl_...._........ <br /> Conum1w s Nwns, AIL. r&,e4trR,.. lsla lmerojp;. S*;z Ehon.a..t� <br /> Mstallahon w.11 aNW i RDIkFMfe®ADNfnteW Moine❑COw*wftl Owfa M Color70— Q 1� <br /> Moteloodw ..' _.. .........__.1. ry <br /> Number of l:ylnq unit- f Nr lw el hisdroome...�`�,....GobatER GrkdN .. IN Sic" <br /> W.I.Su <br /> aNYPublk System and name _. . ...... . <br /> Chaxler of tat to o depth of D fee* Sand M S:il Clay ❑ Peer D sandy town R cloy EDpm o <br /> :Hardpew❑ Adobe[3 Fill Morw,d If yes,type <br /> IPIV open;showing rite of IN. rocaeion at SY10" In lelolien M Wath,bWldinos, etc. must be placed on averse slde.l <br /> NEW INET T(ON: "a NPhc I"or s ors"o Pit pwmANd N pablk:mew-is wdbble within DOD("t,) <br /> PACKAC,E tREATiAENT I i SEPTK SANK I Sae J N 9! ..Kj lkivid Depth JY.�...........� . <br /> Coped �ytM t R<•e*j <br /> : rY type� s AkoRetgi No, CampwraynH I-K! <br /> Nsrence tai reansr Weu fid.. .... _._.For edotors/e 1 Prop,liry _ <br /> IEACMNG UNE 1 I 1 Na of Lrei terveh off ash Pere Sl Taal length /4 a <br /> 'O Eos f/ Type Filter Meierld /,ler .Depth F-l' M' 'I <br /> ` Distance to noonsr- Well /aD r ... FourtdeNwn. C Property tens <br /> Sf#PAOE NT '.( 1 ptp+h/r(i<<!A(K DiamNor ArhiJr)r... Nunbv vZ Rock Filled Yes [3 No Q <br /> water Table-Obprk.. _Rock Slha i <br /> r� <br /> Distance to repnsh Well ......Fours"hon Prop. line <br /> RHAIR/ADOI}IDN(Prey. Sonnotwn Perm s♦ ',.,._..Date _. I <br /> t <br /> Septic TwWISpeci(y Rvnem <br /> egenN- <br /> bi .._ .. .v � I <br /> D4pwsal hNd!{Speeify Pegv,n4ftf4 _....... . jk <br /> I <br /> 1� <br /> '' iGav tiisr:np and roVsund addn.ar e�remorse s*de} <br /> 1 hereby eerrify thanZ. Itbay pnpo»d res ONINeellen sold stent Ike week mll be dans In ocaWenee wAM Sm "IbI e <br /> CO-my Odklans", irate fdG:rwd thus"te"t �V <br /> egdollgns el the Sea Awevlw 1."J Nee1N Olsten.FIeiN enAN N Nmen- <br /> sN agenfr HyrwNn Nrh'Fr"the MNwinq� ' <br /> "1 eMlfy rM+M etre pMNweMr ea era werkYer wbWs Mh perm"is leseed,1 sA611 wet employ ata PDreM[*rutA naan� <br /> or to MwsinsJ�(E N G eeeedea llaws N CDN(emN." <br /> 5•gned ei�fC-, �,. . owner <br /> Or <br /> W i <br /> Ilf Dept IMk'awnerl 't <br /> DEPARTMENT USE ONLY <br /> APPUCATION ACCEPTED 6Y /L-J f ^— __. ��• DATE <br /> SURIDNO PHMIT-iSdilFD---Y:J. _ -_...DATE -o-. <br /> ADDITIONAL COMMENTS _. .... _...__.. .� _. .. . <br /> F."r Ampeneen hr- �.. E.19 -. ...Dome 9�loi ._7c/ . <br /> SAN tOAOUN 1=11. HEALTH DISTRICT - <br /> �y 13 24, Rr.SM •t»v .. <br />