Laserfiche WebLink
, -' - _ _ <br /> ..........." � <br /> .-� ' ._---_--' . <br /> --- N FOR SANITATION PERMIT Pm,mit'No. ' <br /> ____ .in Duplicate) / Du!o Issued <br /> - ......... .............. ................ <br /> Application <br /> This application is made in compliance with Coanty Ordinance No. 549. -67 0 <br /> Address..................... ...... ..........04-WI-01. .......0! .................................................. <br /> partment House C] Commercial E] Trailer Court [:] Motel Other <br /> Installation will serve: Residence 01_� <br /> Number of living units:,/.... Number of beclrooms��_ Number of baths-?�of size ... <br /> ------------ <br /> Water Supply: Public system E3 Community system [] Frivate'[!r'0'Depfk to Water Table ft <br /> Character of sail to a depth of 3 feet- Sand E] Gravel [], Sandy Loam El Clay Loam C] Clay [] Adobe E] Hardpan <br /> r,w°oum Application Made: (if yes,opre........ .......... / No LJ New Construction: ,ao LJ no E] rn°vv*. Yes E] No El ' <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> ------------- <br /> Septic nk: Distance from nearest ......Distance from founclafion.....�R.......Material ...... ....... <br /> Pis Id: Distance from nearest well Distance from foundation....40.... Distance to nearest lot line.��.......... <br /> �eepa/Fljf: D;sfance to nearest well....../jPjO-"---Distance from foundation....4.P.".......Distance to nearest lot <br /> � <br /> Remodeling >:.......... '----_.-''-' --------- � <br /> . _ '_ --- '--~-' ----- ---_--_--_'__-----._------'_-.-'------'_-----'~-� . <br /> �-'--__.__ '-'____-- -.� .. . <br /> ........................................................ ....................................................._............................................................................................................ <br /> ---....................................'.................._'-_-....'''-.............................- ........___............................ ................................................ <br /> h have prepared this application and that the work will be done in accordance with San Joaquin County ' <br /> nr6inwnum^. State lawu, and rules and regulations of the San Joaquin Local Health District. / <br /> --------------------------- wmd/mrC*nt� <br /> (Signed) <br /> . --_. �-~~~ '_ '--- _ <br /> -' �-_~'°~~` __^ -'`--,_----_----'-_--_-_-' . <br /> (Plot plan. �� � � � �� � �� � �� � w� �� �� �n � �� � reverse side). <br /> ' ` <br /> ' <br /> APPLICATION ACCEPTED 8Y_ ------------------------ DATE----/ 7 ............ <br /> REVIEWED 8Y ---- .---_-~---_-_---------_----'_''----'-_. DATE'-------.---_---_---_' <br /> WU|LD|N<� PERW|T |SSUB1-_.-''_--_-'-_------'----._''-_-__--' OATE.'-'..-_--_--._----__-.- <br /> � <br /> Alterations and/or recommendations................................................. ...............------- ........-----------------------------------------.................................. <br /> � <br /> ..................................... --_............................................................................... ...........................--................................--------- --_ . <br /> --------_---__-----__._--_`_--_-_--__._._-----__----.-_--__------_-__--. <br /> . ................................. <br /> '.......................... '- .......................... ........ ------- ........ ...........-------- ------------ ................ ------- .....................'- ................. <br /> ---' <br /> ' <br /> 'RNAL INSPECTION ---- .__-----__---- ' <br /> ' <br /> � SANJOAQU!NLOCALHE4L?HDISTRkCT . <br /> � <br /> 1601mHazollon Ave. 300 West Clak Street /24 Sycamore Street 205 West 9th Street � <br /> " . <br /> , <br /> Stockton,California Lodi.California Manteca,California Tracy,California <br /> LH.+ow,.67 Vanguard Press ' <br />