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n COOnty <br />BOARD OF TRUSTEES <br />A. R. Glover, M.D., Pres. <br />'V. A. Stouffer, Seey <br />P.Laert H. ft,nn <br />Johnson <br />F. C. Days <br />James D. Baker, Jr. M.D <br />W. R. Mensinger, Jr. <br />Ernest M. Azevedo <br />W J Lange <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 East Hazelton Avenue, P. 0. Box 2009 <br />Stockton, California 95201 <br />s PA 0. D s,,,ct Health Officer <br />fl -vember 1), 1)66 <br />USE. PER.:.:I= .1_YPLICAT= #:01 . hCH::11.A F. WRIT PD <br />In the event that the Planninz. Directr.a Torn-, this <br />.Use Permit ArrlicatiJn, San j:aquin L()cal Di:tri.t <br />rec=erds the f:11swing be made a part the apprval: <br />ef an approved septic tari. sewage lisP sal <br />system under permit frem San J.paquin Local Health <br />21.:trict. <br />2. Repair water supply well t.s meet San Jsauin Local Health <br />li:trict appr:val. <br />Rem,ve privy and properly back fill pit. Replace if nec- <br />essary with septic tank sewage disposal system unier permit <br />from $an Joaquin Local Health <br />Jack J. Williams, M.D. <br />District Health Officer <br />••-,2 (7 .1. CL.1 t <br />/ Ark/2 <br />J. D_In Lay:on, Direct,r <br />Environment Divil -n <br />RECEi'VEL <br />NOV II <br />SAN JC.DAOL.,,, <br />PLANNINC DEPARTMENT <br />salvmG 0 ler <br />c,Cr',o <br />ip <br />loon <br />l!'y of Lod, <br />'14 Manteca <br />. of Escolon <br />af