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FOR OFFICE USE: <br /> ------------------ <br /> t-".."""-.""..""..""."..""" APPLICATION FOR SANITATION PERMIT Permit No. o .. . <br /> w. axe <br /> --------- ---------------------- ------------ (Complete in Duplicate) <br /> ;' 1 Date Issued <br /> .-"-"-."-_"._.._-"-------------------- -------------- --- This Permit Ex fres I Year From Date Issued <br /> Application is hereby made to the San Joaquin Local Healfh District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION. ,z'/_-9,/---=''1 -C? -------- ------------------------------------------------------•---------------- ---------------- <br /> Owner's Name--- ------------ 1`ww4 - Phone <br /> Address _ Q-... --------- -------- <br /> Contractor's Name--- T Phone <br /> Installation will serve:. Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: - (A Number of bedrooms _-2-_- Number of baths I'___. Lot size ----- 0 . 6 ________________________________ (� <br /> Water Supply: Public system ❑iCommunity system ❑ Private ❑ Depth to Water Table _4j� ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe �lardpan ❑ 11 <br /> Previous Application Made: (If yes,date__.--..-_-----.__ <br />