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' . . <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> (Complete in Duplicate) Date issued <br /> Application is hereby made to the San Joaquin Local Health D'strict for a permit to construct and install fhe work herein-doscribed. <br /> This application is made in compliance. with County.Ordinance No. 549. <br /> JOB ADDRESS D LOCATION, --- - ----------- - _811-11_Xe_�---- --- -------- ----- ----------------- <br /> ^ <br /> Installation will serve: Residence/[y oe Apartment House El Commercial Ej Tr r Court E] M te&Other <br /> Wafer Supply I i- Public' systern [:] Community system 0 Pi ��Depth to Water Table ---- ft. <br /> Character of soil to a depth of 3 feet: Sand I Gravel E] Sandy L Clay Loam E] Clay F] Adobe ZHardpan�"_, <br /> de: Yes UP <br /> n�� Now Construction: <br /> 0 El revious Application MaTYPE OF 'N-' -- 'T <br /> ION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feef) <br /> SepVn k: Distance from nearest va| Distancp from founda.�on_/0__4.---rMaWfei9 IAJ44"1_4�_ _ <br /> Dispos Field: Distance from nearest well-_`—--------Distance from founcle --------Distance to neiarest lot lin <br /> Number of lines----------- Length of each JiL ne Width of +rem <br /> P�i <br />^ ' [l Distance to nearest lot line-------------------------------------------------------------------------------------------------------------------------------------------- <br /> � l <br /> - n ' <br /> Remodeling and/or repairing (desribe):-------------_�--__--_'_--__----___--__----__-_.__ ------------------------------------------- <br /> --------------- -------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> -----------------------''---------''-----------'------------------------------''------------'---'---------'���------------------''----------------------------------------------''------'-----------------------_----- <br /> --------------------------------------------------------------------------------------- <br /> I hereby certify that I have prepared this appiicafion and <br /> ( <br /> that the work will be done in accordance with San Joaquin County . <br /> te aws, I reg tions of the San Joaquin Local Health District. <br /> ordinances, a I and ruplim <br /> (Plot plan, show' ing size of lot, locatison of system in relafion to wells, buildings, efc., can be placed on reverse side). <br />~ <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ------------------------------ ---------------------------------------------------------- omE` <br /> KB/|GVVED BY------------------------------ <br /> _'---_'� DATE- <br /> BU|LD|N(� PER��|TISSUED------'.7 -------------------------------------------------------------------------------- --- <br /> Alte,uHonoun6/n, ,ecommenJu+ionw,--.-------------.--------_--.-_-----_-.----_za-.-----_.-__.---.--' <br /> ._-_--__-__.__--._-._'-_._-------.-__----_-._'_--__-__�.--'__-__...__.----__--'---' <br />' ` <br />" .__.___--__---_---.__.--------------.-__.___-_--.-___--__-_-__-__._---_----_._ <br /> ---'_----_-.''''-_''''__''----'''-_-'''-_''''-_'''----''--'''''___''-_-.''''_-.'''_-'-_.'-----_-_- <br /> �'----'------'------------------------'-------------------------------'��------'--------------------'' ���-------------------------------------------------'-----------'------------'-------------------'' <br /> / / //�1~f ' . <br /> F|NAL |NSPECT|(]N 8Y�-'''-[4�.� /\/'---''''--'-- Date '_-'��_.-��_.��_-.-_''---________ <br /> ' SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> . /30 South Xmarica" street 300 West Oak Street /32 Sycamore Street ow North "C" street <br /> " <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> l <br /> ES-9-2M ��/ no.�6 vva|no U <br /> � � <br />