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' <br /> OW FOR SANITATION PERMIT-:& � <br /> � <br /> (Complete in Duplicate) <br /> .' oolicu6pois hereby noJe to the San Joaquin Local Hou|+6 District for a perm/+ foconstruct and [n'f�|| the he,e�n' -+i- ' is ' =d" /n cumP|/«»ce with County Ordinance No. 649' described. <br /> JOB ADDRESS �- _ . �a �� <br /> Owner's Name --- <br /> ----------------------------------------------------------------------------- <br /> d` - ---------- -------------------------------------- <br /> --------------3-�! -------- ------------------------------------------------------------------------------- <br /> Installation wi.11 serve: Residence Apartment House E] Commercial. El Trailer Court -0---------- Phone----------------------------------- <br /> Number-of living units. -0 Number of bedrooms I- Number of baths Lot size . .Motel 0 Other El <br /> Water Supply: Public system <br />/ Character of soil to e depth oy-�feet---� � <br /> -^'' ~y =" EI Private L] --- <br />' 3n6 � G� �� E] Sandy Clay Loam Clay /�o� <br /> TyP2 Of INSTALLATION-AND SPECIFICATIONS': Z Ha'6ou» [] / <br /> /No septic tank <br />. �r *e,qxnm|;n,miffe6.Rpu6Uc sewer ovmJa6h� ~�h�n 2��S / / D' I feet.) <br /> stance <br /> arest well <br /> No. of <br /> , �--�_.-.. ~ _ 'j_. -" �u'-_--|'�--�-----'''-'- <br /> --'---`----^'. <br /> ^, '`,»op»^« D�fnm, from n ra� w' � �9u/ -dopfh- <br /> �-'----Dun,nce ��= +o«»dw+�nUal . ___-� <br /> -_, <br /> -.`_ <br /> - <br /> _ <br /> 3�e: D�ma+*r__..__.. el '--'--_ n�� mutor <br /> Depth _ ._______._ <br /> (Signed)- 411-1117- e San Joaquin Local Health District. <br /> rrwy: Distance from nearest w�LDEPARTMENT USE ONLY <br /> - -- -'------Distance from n� <br /> Distance neures lot fine eonosf 6uil6�g.__/__._______''-- <br /> .. <br /> ~ <br /> xnopuge Pit: D�tonoo.'9f pit fn nearestwoLin__�-..U��fanuefrom foundation ' <br /> ] Number � ---'-D�ppoa| F��. ~ --'~''-------''Soe. o�mw+e�_ �Deo+ --------------------------------- <br /> I <br /> '- <br /> D�tonuornom we|I2'iD�+ nce from founa+ ��� ---'----'—'- <br /> `,umb=r of / Distanceto nearest lot |��-/nm <br /> --Leno ' ofeach Tvo ° --V�+k oftrench` X� of �| � ,=. �. � ~---uep+h of fi/fn, muha,iu/ �� ----------------------- <br /> Remodeling <br /> ----- <br /> Remo6e�g and/�r repairing �escr�o>�'''__ <br /> .. wo� ------------........... ' ' -- � _'____---__-___- _ _-_-.__.-_-__-____.__- <br /> ES-9-2M 9-50 W-1639--_ � __�-___'------ __---_'--------------- <br /> __' �~..=`'---'-_-''''-'--'''_-'-_.'''_-._-5� ��U|N LOCAL HEALTH DISTRICT <br /> 130 South American Sfnwof <br />