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- <br /> APPLICATION <br /> _ —F'O—R SANITATION <br /> — - PERMIT - Permit No -_._------0.9f <br /> 9..//-f <br /> (Complete in Duplicate) L0L � <br /> /- �=Dufe Issued --. /. <br /> . . <br /> mu6o to the San Joaquin Local Health District for u permit to construct and install the work herein described. <br /> This application6 plOrdinance No. 5 9. <br /> JOB ADDRESS AND 0 TION.�7__A�g__/--- - --- ---- - ------ - - ---------- -- ---------------- ------i------- <br /> Owner's Name------------ ---------trrl----------- - -- - ---------_1--------------------------------------- ----qbbone 4 <br /> ' <br /> -'Number � ."��.��.�L� -_�--_'Num6o, of living units: � <br /> Water Supply: Public system Community rystem'E]-.Private j< Depth to W,ater Table-5'V ft. ~ <br /> Character of soil to a depth of 3 J^ Sand 0 Gravel E] 6on6v Loam E] Clay Loam <br /> ' El Clay Adobe Hardpan F] <br /> / ^ � <br /> Previous ��a6e; Yes �] Nos�" New Construction: Yo, [� No <br /> . <br /> 'r,'--� sm� . ' <br /> TYPG.OF INSTALLATION AND SPECIFICATIONS: <br /> No septic tank or me,opon| 'enniffw6 if pv6lim'sowor is available within 200 feet) <br /> � <br /> Septic Tank: Didunoa from nearest weU Distance from foundation Mo+orio| <br /> ----------------- ~~._ <br /> [1,6!)Ltn, ^ No. ofnompo,h`nen+s---_ ----- - ---Size---------------------------------Liquid <br /> 6up�h------------ ------------Capacity�-.__-_- <br /> Disposa| Field:' Di�an�ofnzm nearest well--------------- Distance-- ����` ��� ������ '-''--''Di�unceto "oun,� �t |�o <br /> -----'' <br /> ?*«w ^ �� k <br /> Seepage Pit: Distance to n6ajres1_WeIl_1,tS--------Distance f,om_fo dation--/e..........Distance to nearest lot ----------- <br /> /or repairing (cl6� �_ . <br /> ------------------------------------------------------------ ------------------------------------------------------------------------------------------------r-------------------------------------------------------------- <br /> ---------- <br /> --------------------------------------------------- <br /> . hereby certify ".~. . . � <br /> onxma"oe� State �ws <br /> ~ <br /> � <br /> a ulafions o he San Joaquin Local Heat Dist rict. <br /> (Plot plan, showing size of l6f, location of system in relation to wells, buildings, efc.. can be p e okt4verse side). <br /> ` <br /> DEPARTMENT USE ONLY <br /> ou/mu".G ,=R"".. ISSUED------------- --------------------- °`°^- <br /> il unJ/or ^~ -------------- <br /> ---~---- _..__--__-__.-._-_. <br /> _ ---------------------------- <br /> Alterations .__._.�. <br /> --------------------------------------------------------------------------'--'-' --' J -^~~~~ --------'-----------'—'--'---'—'-- <br /> ''---' -'''-'--'--'- --'''—�-'. --'''--''--'''--''''-'''''—''''-'------'-''-''-'-'-'--' <br /> ''''--`'_'--' -' -------------------------- _'''_ ----- -''''_''---'-'''--''-'--''-''-'_-'--- <br /> ' <br /> , FIN \L INSPECTION BY:-' | ------- ------ ------------- Date---- -y�.��—. ------------' s--------------------------------- <br /> SAN <br /> .��.----._._SkN <br /> JOAQUUN L09AL HEALTH DISTRICT <br /> /30 south America" Street 300 West Oak Street /32 Sycarnore Street ow North "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br />