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U.PPLiCATION FOR SANITATION f, ,MI. Permit No. ..�:.1...f3..:.�....' i
<br /> {Complete in Duplicate) '
<br /> Dote issued - ~...''....:'.1..�
<br /> This-Perinit Expires I Year From Date Issued
<br /> / ir.,!i•.•, i•. !,ct r'i nt:,•?r• ir, !hc inn "I nn:nn t •)c;a I inrtlih 1)10ric:t fOr n'r,^rrnii rr> ron•,rr,t(7r mm i ,:.},t!I 0,e '+oit I,ercin dr-scribed. ,E-'
<br /> li.• ,,f{.1i .',!irv, .. .•!� in ,n:;atrnrr v,i!!I Ctu;,t1 0,dt nance I'lo. 549. f
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<br /> In:!.tlL,ii.,n w.{i vr•: e',..:,1,.: ' ^ :',•r!r•,...1! I E.:,isrr �..) Comre,rrcra} I fri%d,nr C �,jr'.
<br /> ''� !! �. .., � �, .. i 3-.-- f::. ..,!'- l.'.'!:JOf' .. r•1�trnf?nr r,{ ._ .!i„+ ". Lc. 5;._ - � - -.. -.. � .- .._ .. .
<br /> WAir.r Supply: i C f�.,,,,,,( 1 Prvc,te
<br /> Ch,t'racinr of :oil to .i r?,�h1h of 3 foot: { i ( ur i F1
<br /> ySandy L•,Im } (.l,y I n-.vn t,-j r-'r,; L rs• ;,t n �] I inrc?ran []
<br /> Frnv.ioui A�'f lir,{icn t.f,r?^: r.. 1 Ho.1� t•1Cw Cpn;frucC l<)n: '1'!:'' ij I" L.! NJA.-VAI Yes j..I Ho
<br /> 1
<br /> TYPE OF I1'1S1nI.LA1I(-)tI At1D SPECIFICAT!ONS:
<br /> (No ccpiir. f3nIr rr cr,.spool perm{iied if public:sewer is ava;laW within 200 feet.)
<br /> !i •I• i),.0/ince trorn'luwr ' :I'+
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<br /> {l; I ! :e•. -':f D'-r ance from four, to neiire't lof lint......
<br /> 1i r1 ,,,fir_ I:cnq!h 0iec,r i, Iln• /Ir{1?, c,.l
<br /> ��' ��,•
<br /> r Cl ,ri:I
<br /> (:mill q •li.. f I 1 -
<br /> '•.r.r.I.,rac. ! . 0ir0,inc^ froii I^ur.rt•,f• :, /r. :�:5' r.a ,. ;.zrc..t lot II' . �.�.... Hti
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<br /> !r ..•t.. . ... ! .•� 111'.lanrl' r�cirn In.,., - t.ir:ia': T ,!i.I" �.J
<br /> Pcpilt I. 'luir? ('n+.,,�ify. gels.'
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<br /> I 11r•1r6y cr,r!ify tl,ar I prepar-)d ibis ii-phcal;on and flial rhe work will he done in accordance with San-.Joequin County
<br /> ordinance SI.,{e I.tw•., nd rr,':.•s and ,regulafior.s of the San Jnaquin Local Hrahk District.
<br /> Contractor)
<br /> r /
<br /> By: � ' � �/j1 ¢_/ s.� (Title)
<br /> (Plot plan, showi,,rg si;r, rf Icf, locafion Of 51,;4m in rs?laiiori fn wills, buildings, n{c. c.vin be priced on rivers,; sidrr).
<br /> FOR;()Ff AR1t.1Et-1T USE ONLY
<br /> AIIN If
<br /> l.�f1E Di.,ir'• i I
<br /> AllrrAlrr-n: a•l/. ' rr.. .,,.n ..••!,,!i:,ns:
<br /> { .. . .... .. ... ...
<br /> Fid lAl. I} ., ."'', ! n'r . �. {),t}e :� './.
<br /> $ArJ JOAQUIN LOCAL HEALTH DISTRICT
<br /> 1601 E. HaxeIIon Ave,. 300 VI—t Oat, Street 174 Sycornore Street 705 Wetl 9th Street r'
<br /> Stockton, Ca:irornio Lodi. Cnllf—ia .: Manteca, California Tiacy•-Colifori,io
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