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y <br /> " <br /> _ APPLICATION FOR SANITATION PERMIT U�«» <br /> (Complete /n Duplicate} /p <br /> / <br /> Application is hereby made to the Son J?oqu[n Loca| H |t6 D' f ; +fo <br /> compliance wif6 Co t O600 ', 'c ropermit fvcon�fmc� «n6indaUthe�ork ��,a� described. <br /> This application is made &! compo. <br /> JOB XDXESS AND LOCATI <br /> Address <br /> -------- <br /> -'---/--- '---Contrao+or'o Name--------- --'r---'------'---'-'---------' ---'. <br /> _^___ _ _ --------------'-------------'-'�phpn*|n�oUmt�nwU| onrve: Rp,i6Gnce bedrooms'of living units: El Numb House O Commercial 0 Trailer Court F] Mc ( 0 Other E] <br /> Water Public system � Number of baths [l Lot o��.'---'----------------'--'-' <br /> mun|+y ,ysfem EPrivate E <br /> Character of soil to m depth of 3 feet: Sand 0 Gravel E] Sandy Loam Ej CJuy Loam E] Clay El Adobe <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: � �� ' '"'"p"nLJ <br /> (No septic tank o, cesspool permitted if Public sewer is available within 200 feet) <br /> Septic Tank: Distance from nvaneofwoU' Distonce frnm fpun6 fi '. ^ <br /> x��� No � + - ^ _p � »»---'���� <br /> Cesspo�l: Distance from nearest well-----------------Distance from foundation--------------------Lining material <br /> f_1 Size: Diameter <br /> Privy- Distance from'nearest well--------- <br /> -Seepage Pit: Distance to nearest well----------------------Distance from foundation--------------------Distance to nearest lot line <br /> Distance from fou6da�io �_o Distance to nearest lot line--- -------- <br /> Depth of filter material ------ <br /> Type of filter maf�rial Length of each line-------- Width of trench---------V <br /> Remodeling and/or repairing (clescribell.,----------- <br /> - -- -------�Z ------- <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ <br /> I hereby certify that I have prepared This application and that the work will be done in accordance with San Joaquin County <br /> ordinances. State laws. and rules and' regulations of the San Joaquin Local Health District. <br /> of, in re afion to wells, buildings, etc., must be filed with Ais application). <br /> (Plot plans, showing size of I <br /> APPLICATION ACCEPTED BY-- <br /> Alterations and/or recommendations: <br /> ' -------------- <br /> ----------_.----._---_----.----- ----_-----_--.--' -----_------_-_------_..-----.-.._--.---.----_.-' <br /> ` �____-__._.___---..__--.. �___.-_____--___� �.—�__---_____--___--._____---_—__-^-- <br /> .-____.__-..___._-__-__.. '''--___.--.___- -___-._.___--_-- <br />. �� - ''-_--''__.-''''__.''----.___.--__- <br /> PE���|T Nu/���'��� ISSUED----- - ----'--' <br /> ' ---' --'»^ ��'--'-(]ute) FINAL INSPECTION By�____ <br /> � ''--'''_-.'''---_.- <br /> u«t'._-------.-{�,- <br /> /-'___---- <br /> SAN JOAQU/NLOCAL HEALTH DISTRICT <br /> /3D-SnufhAmerican Stroef <br /> ss-9-2w9'50w-/639 Stockton, California <br />