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` APPLICATION FOR SANITATION PERMIT Permit No. -- � <br /> rC~' p~'~ in D~r^~~'~' Oufa |mmmJ ------ <br /> . - <br /> cJba+�n � hereby d �*zqh San� i Local Health D� � � <br /> � �+for6p�nn�+ +6�o� �v+ mu6in� � <br /> u||t6*�ohnr�ndnsor�od ' <br /> application is made in compliance with County Or4inance No. 549 <br /> |ostmUotimnwill serve: �-� <br /> Ra�d`nco �� Apartment House [] Commercial [] Trailer Court [] MotelOther <br /> Number of living un| � -'��Number of bedrooms ' . Num6n, nf 6ufhs .K-.. Lo+'oizo -. �.-^� ��. � ---------------------- <br /> Wafer~ Supply- Public m!; E] Community system nyshem P,iv"u+e [] Depth to Water' [ blo-._' ft <br /> Character of soil to a 6��. � �� �� � Gm�| � ��y Loam � Clay L�� � Clay 0 A�� � H��o � .� <br /> ---~. / �� � . -�. <br /> PreviousApplication k4ade: .'�Yos [] No [)I New Construction: Yes 0M No [] <br /> ' . X1.TYpE OF INSTALLATION SPECIFICATIONS: . <br /> . AZ <br /> (No <br /> � <br />' l�v�of �� �u�~ <br /> 'I ie a ce� rom nea -.Distance to nearest lot <br /> Dyth of filter material- --------Total lengi <br /> -------------------------- <br /> -.Type of-filter m.ate.rial- <br /> S R+~ Didnn'E��� � U -- -- D�f � 6n fou 6ution Di��nooto nnona� |�� |ine <br /> ^ ------------------------------------------------------------------ ------`---------------------r-- <br /> - ` ^ ^ ___.._-_,. _._�._-l-_..__.._�..__'----------''----------'------' <br /> , <br /> . ' <br /> fh!is applica.tion and that +he work will,6e clone in accordance with San Joaquin County <br /> ordinince�, S I d I dr ulalion fAhe Sa� Joaquin Local Health District. <br /> (Plot_,.plan,!showing size! of.lo't, location of system in relation to wells, buildings, efc.,' can b; placed on reverse side). <br /> FOWDEPARTMENT USE ONLY <br /> ' <br /> /\PPL|C/��| DATE---, <br /> REV| . BY--------------------------------Z' -------------------------------------------------------- DATE'''--_'_-.'-_-'-'_--_--''' <br /> 8U|LD|N6^ PERMIT ISSUED:---_---_ ------- ur`/E-----_.___------.---_-- <br /> /4|h:rationsand/or rwnommevcla+ions:---------------------------------- --_-- ------------------- ------------------------------------- .-...____.._..__.____.--..__. <br /> . -.__--_--_---..�_--._-----------_.--__--__--_-'_.—._---_-__--______._-_. <br /> ' * - <br /> .--'�---.-'---''_-�^''---'--^''''-''—'''-�--'''___-.''-_'--'-'-'' ---_-------------_'-_--''__ __,_----_ <br /> ------------------------'---''''-''_-''__'�--''-''''---------------------------------------------------------------------------------------------------------------------------------------- <br /> ------------------------------ -'---''-'''---'�'-_'''-''-'''-'''-''_ ' '''-- ' --''---_-' <br /> FINAL INSPECTION UY ' ...'' ---------------------- ___ <br /> � DISTRICT <br /> /so South American Street -~ mmvvvm ��� <br /> Oak \ - |vc Sycamore Street � em" � ^c^ s*°w <br /> Stockton, California <br /> � . d� ` |V"mie Manteca, California n=s^ California <br /> . . <br /> ES-v-2w x".is°a vv-2/00 ^ <br />