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q � <br /> APPLICATION FOR SANITATION PERMIT Permit No. � /.�.... <br /> (Complete in Duplicate) <br /> Date Issued J j�r,&_.� <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and i s all the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. OCL '-- (&'0 <br /> , JOB�AADD ESS ANt�Lt, <br /> LOCATION_/_- Q --'-S "1 h ._ C3, __ '54'. <br /> L- <br /> Owners Name------- }* 5 ------���}----- W 2L r = t = - Phone i _�5------A&D,--- <br /> Address----------••------••---------- -------•-- - �� a"'t----2-20--- ------4-.(!& T •------------•---------= <br /> Contractor's Name <br /> - ------------------------ ---------------- Phone------•--------------------------- I <br /> Installation will serve: Residence ❑ ApartmentfHouse ❑ Co m'ercial railer Court E] Mofie! E] Other E] I <br /> Number of living unifs:.__ __ Number of bedrooms ______- Number of baths _ �___tLot size '"_: a0_-X__ --__Sa_______________ <br /> ---------- <br /> Water Supply: Public system ❑ Community system ❑ Private E]_--Vepth to Water Table N_ ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy'Loam []"Clay Loam ❑ Clay ❑ Adobe [] Hardpan ❑ <br /> Previous Application Made: Yes ❑ No E4-"New Construction: Yes �o ❑ FHA/VA: Yes ❑ No ❑ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or'cesspool permitted if public sewer is available within 200 feet.) <br /> _ _ ---------------- <br /> Septic <br /> --------------- <br /> Septic T nk: Distance from nearest well___V _ Distance from foundation !�-----------•----------------- <br /> 1� No. of compartments-.___Z__._ ___Size_g ' 4-s __Liquid de th-y_______________-____Ca acitY V70 <br /> Disposal Field: Distance from nearest well..-6-4-------.-Distance from foundation_14--------------Distance to nearest lot line__ __________ �' <br /> Number of lines----1________-'=r'___-_- ength of each line-_-Ya <br />