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r+ a <br /> 5• ,C��1N9 3iK b�'k�fµ d} Fl L.� �4 .R':z <br /> 4��4 <br /> FOR OFFICE USE: <br /> -71 <br /> L( ® . APPLICATION- FOR SANITATION PERMIT Permit No. �_1 g <br /> k !Complete in wpocate) / r <br /> Thin Permit Expires 1 Year From Date, IssuedDate Issued <br /> wis herrfby made,to the Sen Joaquin Local Health District for s permit to construct end install the work herein des. <br /> is <br /> ��� complmna with County Ordinance No. 549 <br /> " rx,iOs�ol�REu <br /> AND �oc�►T 1... �.. .,,►s.,......1 a dinew •..0 !T ;.• .... ... ...: . <br /> x¢ Owner'ti NsnrM..,• ..�!�l••2?l11�,4`.eS ........................................ Phone .�G« �?. <br /> Phone ; <br /> ;a � ;bM1eNa1rwr ww t�erre,s Residence Mo"Aportment House Commercial Q Treilar Court (3", ,Mot�I Q Otiwr Q <br /> t `. »Mlssnber of limen ynih:.. Number of b*drvoins i Number of l ethi:�.. Lot"s�::,a`t�iQ�. �.l�i --------- » �` <br /> 11Ne,ler Sopplys'`PabBe "$%M ( Community Systlgn Q Private,Q :Depth To Water Table ft. <br /> t 1lerrsaior of s+eii`1e,s depH1 41 3,fiefs Send O Grw,al Q .Sandy Loam❑ Gay Loom❑ Q Ad (Hardpan 0,9 <br /> Yz <br /> /frlsrMsls3 Malai{If`y s,dotp:. l Noe0 z+lew Conitruction: Y*s —No jh''FHA►/VAs Yee❑ No Q'' 3 <br /> INSTAUAM4'AND WICIHCATIONSi#84 or essiipooll Iiierfaw <br /> M <br /> r SM .Tad::t D+Neme from nearest well«,,.:.., ....Di�h ,,;`M <br /> nu from foundation stiyiel,, <br /> Q �' ' Iy Na,of comparf111en1:., .:5 ,...:.: «„� .Liquid depth:S �. :r Capacity «.•: ` <br /> �`�}��r.Otspossl Field' ��. Qtstenee,from neerrtit weA k ;..Di�tenui from�foundatapn:. rt »:«�� :naarwt,bt fuse«,,»` MM•`. � �t <br /> � ,t Number oi'litlest».»«.. Length of each line « _" °Hench <br /> M« ... <br /> rT + « «.. .....:Oipth of filth°matakl. ««T:btai ,..»«...'`:...•.»«.«. � <br /> 9e. V <br /> 'r K 1 4 a_ 9 t _ M M•M.!.•.w••..•{t, �+,Y'r ?7 <br /> �"���� Ptt: D+stence,.to nearest„well ,Dtstanuµ foundetlon...•,� lot <br /> Number pf pm., „.,! :Lining h Size.- � De <br /> �. <br /> .« <br /> ma ria! �,, •. pth.. �. <br /> �• � � � •Dishna from rmare�t vreQ i N Dist na-from foundation �.«..Llai "met�t�” � � �� � <br /> s� D Sisk: Dtemeter ;....Oppth :.. .•..•Liquid Cs " x� `� <br /> a� Peivys i ;Dittence,from neenat well ..,;.. _ Distancefrom assrest Wiwi : ' <br /> r } Q �" Distance to nearest lot line. ..•..« w «.a•. »» as <br /> I �4v.Lt N IF . •« «.M.•.M.MM•n r { t`h P <br /> + Remodel req Fend%a repairir� jdascn'bej.. ... i¢�iP/ ..R'.rY.�.•.�� i" ,". / �_, ' R. Is!" <br /> ���w�i..«.«+«.•w.••.«w�,ww•w••«•••••.•• w.••w.n«• x•.•w•.w•�we�N. •t� ! ..••NMI,• ««•«« „•w �4'� { ��� �t' 4�N«N k� "�fir, ,� <br /> ...M... M..M.. , <br /> ti f «'r jearlily,lM!Ihwo <br /> „M.M ..4444444 <br /> ...•. .....{...•»I:.{.. • ,.« M.%. , «,.. �•I,....M.MM w`" ;s <br /> ...,.. ...t.•.. p�� <br /> +N.+ssr*s1s t kws.end rulesyapared fkmPP � 'trek �isoerdanoe lien Counly#s <br /> f & :. Leal HeaMl1 r> <br /> W that toe b• "`in <br />` `2° i .k •�1�,11e�i•P � , i•f/�• •♦ - '�' <br /> \"—` 1 A ,�1 ^ • .* rni.. « « <br /> Of In <br /> nlatl0n t0 weNs, bYMd 8 •tQ.t en be O *NW on P a" <br /> laps, <br /> SIMON <br /> FOR DEPARTMENT USE ONLY <br /> - APPLICATION ACCEPTEDBY... f . ,. ..w..y..h ,•w,., ,. ..er.. �...«„..,.. '...lf...... DATE.. <br /> ... <br /> ; <br /> REVIEWED BY.. .. bATE.. ..... M.:.,...;«„.M.,.•..............» <br /> BUILDING PERMIT ISSUED...„.................................... .OAITE.. <br /> ... . <br /> Alterations and/or rocommondations ............. ' ......,.« ...„„,,,,„,..,.„.«M• <br /> r . . <br /> .„..„...... .............„.•.. .. <br /> .. .............................. ..M „, ••:•.».•:........ r. <br /> ......... .......... <br /> ....... .......................... <br /> .......... ,.... ...».,. ...................... <br /> ' • <br /> FINAL INSPECTION BY:.:.........,!�.�.,..T.�t,C..rr� .... ;�, p4 ;� JI <br /> , .►.' ..,�,x <br /> SAN JOAQUIN LOCAL HEALTH*DISTRICT ' ••,n a <br /> 130 sw h McKken Supt 300 Wet Oak snwt <br /> fttKkNn,GlthtnN —,�.1 s4 sn.”Sk v 203 wee MA sk" <br /> t�dl.Glihm�s mento",t•Ilrtmth <br /> TMv.Cauftmtn _ <br /> 98 9 REVISED 9.87 2M 5-62 ATLAS 4 <br /> r - * <br />