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' '~E ~~^' <br /> �l <br /> » ' =~ � ��PPL|C��TI���� FOR SANITATION PERMIT <br /> Penn <br /> ' Date |soxa6 <br /> (Complete in <br /> res <br /> ear <br /> From Date Issued <br /> . ' . <br /> Application is hereby made to the SanJoaquin Local Health Distri � � <br /> ct � m permit to <br /> nn6 install work herein described.. <br /> This application is made in compliance with County (]p6inunco No. 549. <br />` <br />~ ~~.e. ° .`"""^ <br /> -------------------------------------- <br /> rtmen6H86se El Commercial E] Trailer Court Ej Motel Other, E] <br /> Installation will serve: Kesidence 91�441 <br />! Number of �� �* <br /> living � ���� -r- - <br /> -- - -r--`--' <br /> Water Supply: Public system unity systehnE] 'PrivdteE] Depth to Water TableCharacter of soil to a depth of 3 feet: Sand E] G a-vel E] Sandy Loam 0 Clay Loam Ej Cla E] Adobe 93.�ardpan El <br /> Previous Application '°""ep ve^ "die <br /> , <br /> :(No septic tank'or cesspodl permitted f publi sewer is available within 200 feet.) <br /> ' <br /> ' i ~� <br /> Septic '~ ~'"'"' c" ."~' we' ',~=' <br /> .,. of ~~ z:,ace from foundation---el-,P--------Mat r*al--- <br /> arest well-------- ----Distance from foundation__,e*"j0.,---.--- Distance to nearest lot <br /> Disposal Field: Distance fro <br /> Number of lines.......Q-,- ----e_'Length of each I Width of trench.-.0JO---$� <br /> See Distance to neares�welL------—-----------Distance Aom foundation---/P---------Distance to nearest lot line-- <br /> . <br /> Cesspool: Distance 6o <br /> --------------------- <br /> ---- -1-------- ----------------------------- <br /> I <br /> ordinances, State law nd rules and tion f +he San Joaquin Local Health District. <br /> � . ' <br />� ��f ' ------'� ----'�� ----'^`'' �9 ^ `------ <br /> . plan, showing ,� � � �� � �� � w� 6�i� �. can be �� � ��� � <br />- ` <br /> � <br /> FOR DEPARTMENT USE ONLY <br /> KEV|EWBD DY. DATE <br /> ' ^ <br /> ____.________________-----'----_`'-----'----'-' D�TE_---''-_.- /---.'__--.- <br /> BUILDING PERMIT ISSUED----------------------------------- DATE---- <br /> A�o,at�nsand/or ,ecomnmn6a�mrm;- .�z����' -�--_---_-'.__.----`.-- `---_-' <br /> ---------------'---------------------- -''—'-----� --------------------------- ------------------------------------------------------------------- --------------------- ------------------------------ | <br /> ''------------''—'--'-----_--'-__—_'--------''---'---�---'_--'___-___-______ p <br /> . � '. <br /> .-''--'-------_—'-'�-----'''--------'-'�-'—_—_----_—''-----_---'—_----- <br /> � <br /> ----------------- -------------- ----------- ------------------------------ ------------------------ —_------- ------------------------------- ----------------------- ._-------_---_. <br /> ` <br /> INSPECTION ------FI hAL- <br /> —_'—. . ~_ Date ° ------- ''---. <br /> ` <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT ~ <br /> 1601 E.*""elto"Ave. ' y '- 3,00'West Oak Street \ eosWest 9th e=° � <br /> A - <br /> \ `��x California `� �� c"o��� California- ~California, � � � ..^.,' <br /> ,=c"` <br /> Wee b°"~` <br /> - ' . <br />