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� ( ' APPLICATION FOR SANITATION PERMIT Ponnit � ��om��fw �� Duplicate). ' `--� � ` Do+o |oue6°2,1-2t��"Z- ' Application Is-hereby mo6o to the San Joaquin Local HauKk District for u permit to construct and install the work herein 6eicri6e6. ThisupcJicati6n is made in compliance with County Ordinance No. 549. ' { .~. ADDRESS� AND ~~.- _-. / Contractor's Name___4 ' Installation^ ~ ~ill, ~`'`~' '~~~~^~' 4 Apartment^ ' '~~'` E ~~^'^~'^~' E� Trailer^ ---'' E] Motel L Other- E y .� Numbarcfliving units: __1--- Number of bedrooms --/- --- Number of baths /---- Lot size ------- ------------------ Water ---.-.--Wator \. �uop�� Public system 7�� Community qn+�m �� Pr��+a �� Depth +o \�uterTub� '''' ft � Character of soil to a depth of feet: Sand D Gravel E] Sandy Loam E] Clay Loam L] Clay [] Adobo%r711 Hardpan Previous Application k4a6o, Yu, E] No 9 New Construction: Ye, Ej No i TYPE C}FINSTALLATION AND SPECIFICATIONS: (No septic tank nrcesopoo| permitted R public sewer is available within 200 feet.) ' | Septic Tank: � Distance from nearest well-----------------Distance from foundation--------------------Material No. of compartments--------------------------Size_---.-____.--'�quid 6op+ -_-�--_-Copuc�y_.-__._-- �� - ~ Disposal �o�-' Distance from nearest w»U-''--''Didonce from foundation Distance to nearestlot |��'-''--' E] . Number of lines Length of each line. VYidf6 of french � ---'-=- . .t. . - -- to nearest_ well Distance from foundation-------------------Distance to nearest lot lin-_--------- � El Number of pts- un nmg moreo/ Size: m u/^ ;ror uuprn -- . Remo6eling and/or repairing (6escribe):--_------------------�--._-_--__---___.--_-__-_.__.-.__-------._--- '-------� -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------W�^ ' --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------- ---------------------------------- _--------------------------------------------------------__-----------------------------------------------------_-------_-__ [ ' | hereby have prepared this application and fhm+ the work will be 6nno in aouu,dunue with Sun Joaquin County U ordinances, State laws, and rules and regulations of the San Joaq�ilnLocal Health District. --------------------------------------- ----------- - ' - ' and/or Contractor) ' (Plot plan, ~~~'ggo~^~ ~ ~' location of ^r U FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED ur------------------��-�� --.-._-___--_-._' DATE_--�-,- .'��-. _. | RB1E�/ED �L----'-_-__-----.V`��-� [4- . .----_.---'_-_---_ D/iTE-. �/_. -------- BUILDING _ ^ RU|LD|NG PERM|T |SSUB]--_'''___''__''----'''__---_-'''--'''�'�---- DATE'---''''---'-''�-''-'-_-'- /\lter tions and/or recommendations:---------------------------------------------------------------------------------------------------------------'------------------------------------------ ----------------------- _'_---_-'''__.---------'--'''''-_'''''''''''__--''''-_-�'--_''''''-___''-___-_---- _.___--__-_--'-_---_-__---_--.__----- _''''-'''''---_-_---_---_--_--'__---_____- � ----__ _ _.---_-._----_---_-_. ___---._-.__-'_-_--'_----_-_-_--- -_____-__�.---''_-'''--'''_-'''--''---'---'''_--'''''''''''-'--'�'�-_'-'----''''__-_.'''-_.'_-_.--- y| -��- �FINAL -INSPECTION _ -_ - _�-- Dnfe-. -----�--�---_--x _-�� --- ----.__- � SANJOAQU|NLOCALH£ALTHD|STRICT � . ' /30 South America" Street 300 West Oak Street 132 Sycamore Street o|+ North 'C' Street ' Stockton, California Lodi, California Manteca, California Tracy, California ES-9-2M ��/ nv.�°d W-2100 ^