Laserfiche WebLink
° <br /> j� <br /> Application is her I eby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. S49. <br /> ?s'ANa m a" ----------............ Phone----------------------------------- <br /> Installation will serve: Residence 0 Apartment House Comma .A Court E] Motel [] Other El <br /> Number of living units: --,. Number of bedrooms Number of bat�s _/__ Lot size ------------------ <br /> Water Supply: Public system 0 &mmunity system El Private 9?1-5epth To Water Table <br /> Clay El Adobe Er"'Hardpan C1 <br /> 'Character of soil to a depth of 3 feet: Sand 0 Gravel F Sandy Loam L] Clay Loam [:1 <br /> Previous Application Made: [If yes,date................ __1 No gRO"`New Construction: Yes Ej No gqw-­FHA/VA: Yes El No 9;-- <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool pi�rmiffed if pubiic sewer is available within 200 feet.) <br /> Disposar Field" Distance from nearest well----------------Distance from fo-briclafion...................Distance to nearest lot line................. <br /> See P Distance to nearest well--- Distance fLpm f nclation../4�9........Dist t nearest lot ... CA <br /> El <br /> I herebycertify that I have pr�pared this application and that the work will be aone in accordance with San Joaquin County <br /> ordinances, State laws.jind rules and rpulations of the San Joaquin Local Health EI�istrici- <br /> (Plot plan. sh�wir�g sbi:�`olf lotriocafitri-of.sysism in ati.n to wells, buildings. etc., <br /> f46R DEPARTMENT USE ONLY <br /> AAe,otionw mn6/n, _____ .................... --------- ---------- __---------__--------------------------------- -------- --------____ <br /> .—__---------------_--_-------'--_—_—.__'_--.---.-_—'—``—'—_--._—_---.-----. <br /> / ` -- -------------- — .............................................. '—--------- —/----------------'--------------— ------------ <br /> . -------------------------- --------------------------- <br /> ' -:4-:4,1v ���� \ ' <br /> � <br /> 130 South a= Street <br /> 300 West ' —^—��14 Sv�m"�»r°m�� \ ! u»»w°*9th Street <br /> ' s*ckw" California Lodi,California Manteca,California `racy.C*/n"mic <br /> � ES REVISED e'5pcmo'*2ATLAS �> �~M� <br /> � � <br />