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FOR POf Fl�E USE: <br />APPLICATION FOR SANITATION PERMIT Permit No. <br />_ .��w��|wv�mwm�xwwnw) -�. 'Dahw|vvue�'--����~�'-�/ <br />r From Date Issued <br />This Permit Expires I Yea <br />Application is hwmo6v made to the Sun Joaquin Local Hoo|fh District for o permit to construct and installthe work herein described. <br />T�'application |o made lncompliance with County Ordinance No. 549. <br />JOB ADDRESS AND LOCATION ......... 7-53 ------ V�.1gTA_q��_.E|t.o_Cl.t.oCl.._----------------------------------- ------- _____..---. <br />{)wner'o Noma-'Phil]^:W� -'''--.---------............ ---.---.---.. Phone ... IIO--- --------- <br />Address...... 861+ .-W_'.5t)3_-_St°-------------...---'-------_--.--_.--'-,.----_-..-_-----'--''.-----'--' <br />. ��P ���� 7�n -_.]L.----- Phone-........ <br />��nfmvto,o Nume.�.~...=~~�..a.�x+�^^�.'*=v/°�^~'.~���_��^�~_~~.--_--. ' <br />Installation will serve: Apartment House [:1 Commercial 0 Trailer Court.E] Motel 0 Other [] <br />Number *fliving units: -J-. Number of bedrooms _2_-. Number of baths .3 -' Lot size .... 60-1-X ----- 3/J7!_-'-'----'^' <br />Water Supply: PublicPublicsystemsystemMC CommunityCommunitysystemsystem0 PrivatePrivate[-]DDepthDepthtoWa�rT�e .4-W ft. . <br />Character`vm%f*adepth*f 3femf: Sand E] 6nme|[] Sandy Lpum[] (�|nyLoam <br />'[] Clay [] A6obm�� Hardpan [3 <br />Previous Application Made: (if yes, date ---------------- -1 No XX New Construction: YesXX_ No [:3 FHA/VA.Yes [] No El <br />TYPE OPINSTALLATION AND SPECIFICATIONS: <br />|' � (Nm septic tank or cesspool permitted-�'�� i'if public wywe-n is available <br />within 200 feet.) <br />3ppMcTonk: Distance from »��'o|woU-"n �-�- <br />�ufo- <br />,iuL..0C- <br />Br,��""D\ytuncn 'fnov fovn�u+i�°w <br />m= Nv.ofcompm�me�ta--�-----6i --_'Uqu/d6 p*-----.. cup*6tyl� <br />B.-.0_0-L- <br />�.. <br />-g- <br />e.- <br />1 <br />Distance from nearest well --- .�-'~~«_-Distance ot _ <br />Disposal Field: `"""=' of lines '--I'-''-'''-'-.Length of each | ----- Width o, french4! <br />Dx Type of filter muh,�--=-.Rk�.Deo+ of filter material .-��811---J��u| --___.-- <br />°. <br />[ ot ~e.@DzDincfrom 'ounmon�u <br />Seepage Pit: Distance to oeura�_--Di"�.to ne,ormo' |~. |. � <br />Number ofo�o.�'''_-''-Un|ng material me..�� <br />'-__Dmoth -2-5 --'--_- <br />� .e-�-po-oc v'""nco from nearest well '''Dhtancofrom foundation -------------------- Lining material .'-'--_--''--_'- <br />| gm�. <br />-S�a:D�metn�'-''''-'_-''----Dep�'-�''''-''---'-''--_'-Liquid Capacity - <br />': Distance from nearest wmU'_'--''-----.'--_-''Di�nnoe fmm�m��6uV6�g_- <br />._-____..__- <br />CDdu ha ns�|ot|�� ^ ___'-_.._---.__-.________________ <br />�a�cr6� -----'''------'----- <br />R�mro��ing and/or ra9ul�nq (describe): '�-----__---------..------..--_--_._-_ _---____.__.________.___ <br />-_-.__-'__---_._-___--____-_---'__._'-__-_-._--_--..__--' <br />._----__-_---_-_._..__._---__---___.__.--_-''_-__-----_--__.-----___-''_._------'-- <br />''------------------''--''-----'--''---''--'-''---'-'--' <br />'--------�------'—'-----'-'- Ihuve prepared this application and that the work will be 6wnw in accordance with San Joaquin County <br />I hereby certify that <br />ordinances, State iaws. and rules and regulations of A . a San Joaquin Local Health District. <br />JJAJ Lil-iTitle --------------------- ---------------------------- .............. <br />(Plot plan, showing size of lot, locaflan of system in relation to wells, �j ildings, <br />FOR DEPARTMENT USE ONLY <br />APPLICATION ACCEPTED - %l/x-l"--------------- --' <br />REV|EVVED BY -------------------------------- c---' -------------------------------------------- -- <br />BUILDING PERMIT <br />- - <br />------- <br />-------------- <br />ISSUED __._.'-' <br />_--_-_.�____-- <br />D/��'-' <br />-_---___'_TE _--.--_-- <br />---------------------------- <br />Alterations and/or .�--------'-_------------ <br />------------------- <br />------------------------------ <br />-'--'-'-''-'-'-'---''-'''-'''-'''---'''-''--'---''--'--''-----'--'-----'''--''-------'-- <br />-__-'__--._--_._---_-_---_-- <br />��__�­___�_�---'............. __ ----------- _---_--_-_ <br />.--'-'-'-'''-'---''- <br />---'''--'---''----''-''-'-''—'- <br />'-'-''---'-' <br />Date ------- l�����.�.. <br />--------- <br />FINAL INSPECTION BY�- --���_-�'�-J'�_�_-U\_N'�_�_�-ALHEALTN <br />DISTRICT <br />'130 South American Street 300 West Oak Street ' 124 Sycamore Street 205 West 91h Street <br />Stockton, California Lodi, California _ Manteca, California Tracy, California <br />Sf 9 v«"."m o'", *m "'e. m"° <br />