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�= <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> � <br /> (Complete in Duplicate) Date Issued <br /> e work herein described. <br /> plica+ion is hereby made to the San Joaquin Local Health Dist rict for a permit to construct and install th <br /> This application is made in complianc h Co 0 dinance No. 549. <br /> -----------97 <br /> Trailer Court [3 Motel E] Other E] <br /> Installaflon will serve: Residence Apartment House Commercial <br /> of <br /> Water Supply; Public system Community system kivate Ej Depth to Water Table4___ <br /> J� . -1 Clay 'Adobe Hardpan <br /> Character of soil to a depth of 3 feet: Sand El Gravel 0 Sa6cly Loam [_ Clay Loam El <br /> -,14 k <br /> Previous Application Made: Yes E] No 12� New Construction: Yes- No E] <br /> TYPE OF INSTALLATION AND SPEC A ble within 200 feet.) <br /> (No septic tank or cesspool permitted if public sewer is a-vaila <br /> Distan ce from foundation <br /> Disposal Field: Distance from nearest well---------------- ------------------Distance to nearesf-lot line----------- <br /> See n-t well......5"017--Disfance frorp. founcloition---- Distance to nearest I t Ii e ------------ <br /> page Pit-., Distance to near( <br /> Cesspbol: Distance from nearest well.----------------Dista'nce from foundation -------------------Lining material----- ----- <br /> I hereby certify that I have prepared this application and +hat the work will be done in accordance with San Joaquin County <br /> ordinances, Stat s, and rule and regulations of the San Joaquin Local Health District. <br /> sy <br /> (Plot plan, showing Size of lot. location-of J ef�fijn_f�o'wells` ul <br /> FOR DEPARTMENT USE ONLY <br /> ------ - � ''---_'_—_ �� <br /> �~w <br /> .__—.__..� _--. <br /> --------------- <br /> APPLICATION ACCEPTED QY.------_ D��E <br /> DAT ----- <br /> REVIEWEDBY-------------------------- -------------------------- <br /> - _ _ ________ D' .�___ _______________ <br /> DU|LD|N5PERMIT ISSUED _ '� <br /> AJteratiun* and/or recommendations:---------- --------------- --------------- --------------------------------------------------------------------- /------------------------------------------- <br /> --------------------------- -----_--------------..^--.-_-__-_-_-'_---_------__._._____ <br /> -'---'-'---''-''''-'''--''-'''--''_-'-''--'-'-'---''--''''------''-_.''__.'''--''--_--_-'--_ <br /> '-_'-''--''--'_--'_''-'''�'----'''-'^�--'-'''--_''-'''-'—'-'''--'''-''''__.'''----'-_''--- <br /> -''-- ---- '-'-''-- <br /> —�-''_-,-- <br /> '—' --- <br /> FI NAL <br /> FIN/ L |NSPEIT|[ NBY — � Do+o -.��� c~ <br /> ---------'- <br /> SAN <br /> JOAQU\N LOCAL HEALTH DISTRICT <br />' mo South Atn^w**" Strew »oo w^m Oak S»°m mx sv=,m"m Street mw w"*h "C' Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> rs_,_`m `~^46^,°""" 1".S4 <br />