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��C��N FOR SANITATION ��� Permit No. lL <br /> � k�efe <br /> �n Duplicate)'���~/ Dato Issued --- <br /> Ait <br /> tall <br /> work herein <br /> pplication <br /> This applicati-JOB / <br /> � - -~ <br /> AND LOCATION_ wt -----------ai_"- . <br /> --------------------------- <br /> Installation will <br /> se E] Commercial E] Trailer Court E] Motel.0 Other El <br /> ' <br /> Number,!:of |hving'un0ts: -------- Number nf1vo6moms -'- Number of baths _'- Lot size ''-''''''-'''---'---'''--'' <br /> 40V�o�, Supply- Public ��mm [] Cvmmun�y ��em [� P�vo+e�� C��� +o ��tor Tu�o�----. ft. <br /> Character of soil to m depth of,3,foet -Sand [] Gravel E] Sandy Lqum Me Clay Loamj# Clay [] Adob4 Hardpan [] <br /> � <br /> Previous ApMade: Yes C] No �r NewConstruction: Ye�.k No E]' FHA/VA. Yes E] No El <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No oor6m tank �r'�e,spmm| permitted if public e� � sewer is available within 200 feetJ ~~~� <br /> Septic Tank: " Distance from <br /> neures+ weU./m*.-'D ~ » 6o|ion ���----M^terioL�V"H�° �-------------------------- <br /> - <br /> --- . <br /> - 3 �No. of compartments-,--- A--- . ._'-�quid �eAth-V------.Copaci+y.Jei0l-.-- <br /> ' ^ |i�a �" <br /> Di,' m| Field: Distance from neo,am �o|L°� �� --Di�uv from foun6of�nn',� .^_--�Di�unc� +o nearest |o+ - --_ <br /> � <br /> of trench-_-.1W <br /> Type of filter materi* epfh;of filtekr material-/0"t------------Total lengfh-AP-4------------------------------ J <br /> Seepage Pit- Distance to nearest well-/-------------Distance fr f ndafion-%M-----------'Disjance to nearest lot line----ill-------- <br /> �� , mumov, cx pn�,��'''-_unmg morv"� A ",' Diameter- -'-Dept ''~^ --'--'''- <br />/ Cvsspoo: Diotuno, ��m nou,u, well----------------- n/���'m~foun�o�6n_-..�.���G�ng material--- j <br /> [] , Size: Diameter'-_'-����.-------------Depth-'''---__--'''''_-'''-'Uquid Capacity--'-''-'-'--go|s. <br /> Privy: , Distance from nearest we|L��-�'-' v�^ '---'`''�-Di�ance from noo,ns building------------------------------------------ <br />� Distance F] +onearest lot |ino. �- - ---/'','--�--' �'-__'-----'__.'�--'�-------'-' <br />�, -- /or repairing ��`rmoe\'----------- <br /> Remodeling and �-----'-'''_'�'--_'Y_'--__.-'-�_-�` ''--____'�- <br /> _''-_.__________�_ <br /> _ <br /> .___. <br /> -----''7� -'------'''''--'----------'--^ -'-- <br /> ---'—� '----''--------'^'-----'- <br /> ----_- ~~__ ---__ ^__.- '_-',-___---._--_-_' <br />� I hereby " ' e prepared this applic - the'wl -ork-wil|1bie/6wnm in accordance with San Joaquin County <br />- ordinances, ~.�.~ <br /> (Sig <br />� y <br /> i (Plo planshowing <br /> FOR DEPARTMENT USE ONLY <br /> -------------------------- <br /> APPLICATION ~ - '--- ~w <br /> REVIEWED 8Y-'''---'--''-''-''---''''�--'-'-'--''-'-~-` - � DATE <br /> ------------------------ <br /> PERMITISSUED----_----.__------..�.''-.- ---------------- DATE------------------------------------------------------------- <br /> � . <br />| '"'="="~'" = recommendations:` �----------�-�-��-------'--- r---'----------------_-- <br /> '-------' -----------'------------'---------------'----------'-----------' <br /> .__.____ _____-_____.____------------------------------------------- -------------------------------------- ------------------------------------------------------------------ <br />! _-''-_----L-_---''-'-'---'-_-______________-- __________________._--__________-.____________________ <br /> _---- � ----.----_-----------._'____----_.-_--'_-.-----_-------- <br /> �~ <br /> -.--- <br /> � �� .�L� <br /> ' <br /> FINAL INSPECTION 8Y� ��-�'-'' <br /> Dat <br /> SAN <br /> ~ "w <br /> S/\N JOAQU|N LOCAL HEALTH DISTRICT V <br /> ' <br /> 130 s*"m American Street 000West Oak Street /su Sycamore Street o/* worth ^C:' Street <br /> St���"�. ��|a","{" Lodi, California Manteca, California Tracy, California <br /> ES-9-2M Re°is"6 1.5/ rnoz ^ ' <br />