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~._ ^ <br /> ' <br /> APPLICATION FOR SANITATION PERMIT Permit No <br /> (Complete in Duplicate) Date Issued <br />�N� ` ' ' � ' <br /> c� <br />' Applica4ion is hereby made to the San Joaquin Local+ Health for iD � - ~ <br /> This application is made in complianc with County OArance No. 549. <br /> � <br /> Installation will serve: Resiclence�e Apartment House [-] Commercial E] Trailer Court E] Motel E] Other E] <br /> Water Supply: Public system E] Community system El PrivateV Depth tio WIfe, TaU.4/tvft. <br /> or <br /> Character of soil to a depth of 3 feet: Sand [] Gravel [:] Sandy loom El Clay Loam Clay 0 Adobe [-] Hardpan F] <br /> Previous Application Made: Yes E] No New Construction: Y e x No Ej <br /> TYPE OF INSTALLATION AND SPE�XFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 fee+.) <br /> Septi!j Tank: Distance from nearest well Distancg from founclaflor/0--/ ia--- ----- ---------- ---- ------------ <br /> If 406 ;y 6* .0 <br /> An" I Field- Distance from nearest well,_.O. ---F__D�stance from founclafion,,/��. ..........Distance to nearest lot line-----J;----- <br /> Type of filter rnaferiaL ----Depth of filter materiJ.. --------Total length--------;aecq......Z_(__)_1U <br /> :S e Xpa el Pit: Distance to nearest well-. - ------ --------Distance f rp fc,49ation__/W_.�------Distance to nearest I;t line------157"_ <br /> --------------------------------------------- <br />� -__.--__'''---._-_''___'_---_'--'--_-''--'---'___'''-__-''---�--_'''-''-_-.----'-'---'- <br /> i -------------'-----'---'--------------'--------''---------------'---------- <br /> t'` --'—'--------'---------'-------'-----'-'--------'---'-----'-------------'--'---- <br />^ � have prepared this application and that the work will be done in accordancewith San Joaquin County <br /> ' Llaws,�a ;r es District. <br /> RPlo+ plan, showing ofeoi lot location of system in relationto wells, buildings, etc., bN�m� side). � <br /> FOR DEPARTMENT USE ONLY ' <br /> BUILDING PERMIT ISSUED--_--!��--- ' ---_ ---.----- DATE-.V��..-----------.-.--- ' <br /> � � <br /> A|+o,uNnnu and/or �eoommon6efions:---.- ............ ----------------------------_--.__------_-_--.- <br /> '— ''r '']- -----'-------'-'—'--'''------ <br /> --/'�����'._��z�r^..������^��~�-��=���=�,�.°=-..,==_'�'='='''`- p�---------------------- <br /> ------`�---'``---`-------------`--------------------------------------------- -------------------- `--``----``-------```---``-------``---`-----```-----````--`---``-------`-----`-----`--- <br /> '-'-''-''-'-''''--'--���'_-''--''''—'''-'''--'''''--'-'''--''-''-''�-�'--.''---''----_-'�-- .� <br />' | <br /> FIN/\L INSPECTION BY:-.. ----��--'—. Dat <br /> SAN <br /> SANJOAQU|NLOCAL HEALTH DISTRICT <br /> mn South American Street aooWest Oak Street /mc Sycamore Street o/+ m"*h ^c^ Street <br /> Sto"kt"", California Lodi, California M*"fw^. m°/m"m|° Tracy, California <br />