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., <br /> FOR OFFICE USf;" � Af LICATIt>�11 SANfTATi "l�' iitif AOR bFFi E USE~X <br /> --•-- -------- - - --------- <br /> in T to -Permit Na— -- <br /> t. t�ainplete lcEr 1 <br /> . <br /> s <br /> -#)ate <br /> l3d <br /> ------ <br /> ------------------- ------------------- ------------. pYoarPhis Permit � sued 7 7 <br /> � <br /> Application is hereby made to' he;San Joao► Loco health { iorr'u rcnit to zonstruc# hfati the work herein descrl� d <br /> This awl icc0ionis ctacletatyOtdinance <br /> t -5 .' sk777 <br /> i a�s <br /> 3 <br /> k <br /> JOB ADDRCiCATII� = -' _ _ `u` +� 1` - v.ir , .�.,r E •`'�` CEhfSt3S TItAOT -------- <br /> USA <br /> �" 'l - <br /> Owner s Nrxme a._ _ - ..,_., §� �,..,,�-� Phone -- <br /> � �: `�: *10404 - �fi�------------------ <br /> Address_ - <br /> - <br /> s . <br /> Gct t tcsr's me_ "- ----------- Phi <br /> lnsfallation wit( serve Res Apa tme t;House. ] ir�rtle 5 xailer Court Q <br /> t f <br /> Number of livinGarao - Int Siz� r9 ...._ --- <br /> Water Supply: Publics = �Yrivate:o <br /> - . -.- .- <br /> - <br /> Character of soil to a depth tf3 fief: Sander StQ' £fay 0 Peat C} Sandy Loam ❑ Clay Loarra ' <br /> Hqr span ❑ Adore 0 .-._ Material....... ...If yes,� ------------ <br /> (Plat plctrrshovg. tttraon#a-wells;bvldiags,etc l be paced on#everis-side.`� <br /> �. _ <br /> n-= <br /> z. <br /> s prt iiermitted if public server 1s rl�wltfrs►2f <br /> PAGE TRT4 [ SEPTfr -TANK-_ S1zs� - <br /> ---------- <br /> E <br /> I lgid`t33epth. <br /> Ccpatity _1 +IP .:rye= 1plctfer�al <br /> No C"" <br /> C4 <br /> nsart... <br /> Wil._.__ _. ,-.. -- -.- ..__ ._ <br /> Proms: <br /> LEACHING LINE ' [ ] Nb. of _ '+ '­ �e�--length of ea6h line �` + ��t <br /> 0- <br /> D' Box Type filter Material- fit* Filter Matep irxi=,_: _ ... ---- <br /> c 'tlk $rs#t <br /> SEAGI: ._ 13iarreter 1%ilJttnber. <br /> $� s <br /> n Wiater ble.:Depth-` <br /> - t..f. .. ---------Rack Size - = <br /> f Ditgnca to nearer#. tVeli------ --- -------­-------- Foundation _-__ <br /> REPAIR/Af)©ITION (Prev. Slnitation Permit .._...w <br /> _ <br /> Septic Tank lspoWmltomenis)- _ -- -- - . -- <br /> �.. <br /> D4pial Field{Specify ec tai } ----- -- - _ ----- - - - v - <br /> - - <br /> -----•• -- --- _. <br /> (Draw exist�nt� and required addition oto r ij <br /> W - <br /> I haneby=eer > that#.!+arra prepared this opplrcgtion and that the .yrask,� �e slave in accordastse:with . Joaquin.- Cam," <br /> tied minees, State taws, itnd..atules- 4ejoutians,.of the Seri 4oaquin ocett#I itfi svi►ru r or iroert. ! a eAts- <br /> slgnature certifies the follo dig - �- <br /> :. <br /> _ <br /> 1 certify that in the porfort nce of the we#r#,for vrrl" this permit is sorted, I shall not-employ arm pyr a Itr%, uch etr +not as <br /> b;become subject prrtiotr IQws of California" <br /> Sig lad-._ t . -. - - <br /> 'her <br /> -------- - cl .- --- - --------- . - ----- Talc: - <br /> ----- --- -------- <br /> By <br /> ot er than owner) K` <br /> < r } <br /> 777 <br /> AP£t� iA � 'y <br /> AIVISION f BI:R. -_ �. ---- -- w -------------- ........... DATh - - <br /> At}i31TlONA1 l�EN1S--. ._--------------------------- ------ ........... - <br /> . ....................... ... ..... :k _._. _ -- <br /> % <br /> .............. -------­�.......... ------ ----- ......... ---- -- - - ----•- _.. <br /> Final, lntpecian-by; - _ --- -------- <br /> EH 13 24 M (}A l LOCAL 1*4LTI �S f6S'21b77;RSV.7T7 "�1� , <br />