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1-UROFFICE USE: --- <br /> ----------------------------------- ----------------•-- <br /> _°:-- APPLICATION `F 'ANITATION PERMIT Permit No. ------- <br /> ------------ <br /> ---------- ----------------------- -------------- (Complete in Duplicate) r <br /> -.--- This Permit Expires 1 Year From Date Issued Date Issued _ <br /> 2�O�P •—vfP0r22_ <br /> Application is hereby made to the San Joaquin Local Health District for a permit fo construct and install the work herein described. <br /> This application is made in compliant with County Ordinance No. 549, <br /> 7`fS or 2alU �", <br /> JOB ADDRESS AND LOC, TIO _ ;----_&RT11A1 ._._t_. 1�_ _---- --- --- k------ <br /> ,, _,:� <br /> Owner's Name ---------- l � (� . s�.�sz_ } , _.r ---------------- ------------------ Phone------------------------------------ <br /> Address r <br /> Contractor's Name----------0VVIV -- _ .. ! <br /> ---------------- --------------------------------------------- Phone---------------------------------- <br /> Installation will serve: Residence 0-'Apartment House❑ Commercial ial ❑ Trailer Court ❑ Motel ❑ Other <br /> Number of living units: Number of bedrooms _3-- Numb of baths __/___ Lot size <br /> r � - a <br /> Water Supply: Public system ❑ . Co munity system) ❑, Private Depth to Water Table/V__ ft. <br /> Character of soil to a depth of 3 feet: .�Sand Gray el-0 Sandy to arn- ] uClay Loam p Clay 0 Adobe ❑ Hardpan ❑ <br /> ation Made: (if yes,date �___-______..._.) N � <br /> o! <br />