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APPLICATION FOR SANITATION PERMIT Permit No. ---t <br /> I ��-�7...f.. <br /> (Complete in Duplicate) D*+n Issued -7 <br /> � <br /> lication <br /> \ <br /> � <br /> Irl Sp is h So Joaquin LocalHealth District for u constructpermit +nand in,�`Uthe wo, herein described. <br /> T application is made in compliance with County Ordinan e N o 549 <br />/ Add _ ' . <br /> Installation will serve: Residence" 41','A-Partment House.El,-Commercial'E]--Tr�'il;r Cou-rt Mot I Of er <br /> 14 El 0 El h El <br /> � |�i� un��`� N��� � �m� Number of . � � ------------------------ <br /> Number -� <br /> -~ ��� 00, <br /> �� �� P�|� 'Community system � P�� � Depfh^fo Water Table XAFIt.- <br /> Chacter of mU to a depth of 3 feet: Sancl [] Gravel E] Sandy Lo*` � �|uy L�m [� o��n E] 1 <br /> � <br /> Previous Application Made: ,n, �� nn'um-~'/v='>`.un,,rucnvn� ./o� �� . .`" mur '"~v "~~/.'���� ' ~ <br /> . ^=� <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> _ ' <br /> (N* ��p+� tank xn' if '6��onwwr��v���� w�6n 200 feet.), � - <br /> � ' , <br /> k Distance from neorms wuL'..'''-Di,hf�co from fpundo6on-�..' --'--:Material ' -,''-''-'''-''-- <br /> [ No. of <br /> �ompurtme6.t,..,r-~-~'1�---..size----------------------------------- <br /> Liquid dnp�k----------------- --------Copocify- -------- .-- <br /> ~ ----D�f nce to nearest lot |�o___.-_...�: Distance from nearestv�| ./---�bi`f, og { ioh. <br /> ---- <br /> Number of lines------------------ _----Length of each line- � � V|d+. of french . . <br /> Ty�e of filter material----------------------�__Depth of | <br /> )'! <br /> length ar | <br /> Seepage P1 =s.a."= to .~~.~.. ._,'=.= .~..... <br /> fro, tion-_ D'stanciii to nearest lot line----- ---- <br /> � <br /> Number of Lining i <br /> � <br /> --------------- <br /> Cesspool: � <br /> . Distance from nearest mnha�u|.--.-------.-' »\| <br /> ElSize: Diameter ^ ------------------------.Dooth-----------------;------------ ---------------------Liquid Capacity----------------------------gals. . <br /> Privy: Distance from ne8resf ------------------------------Distance from nearest building-- <br /> ---------------------------------------------------------------------- <br /> 0000 <br /> Remodeling o"d/". ~p"""'y y^"``''"=/--'c�'e�&m^n�w�e^-�-�'~�~'~�"�:�«=`"~~~~~ '~--'--'-------'-' , <br /> ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------'------------------------------ <br /> � <br /> --------------------------_---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> ` <br /> � '--'''--'''''---'----'--'--'''''--'-------''-----''--'-'---''-----''-----'-------'-''-'''---'—�\ <br /> at | have <br /> prepared this application and that the work will be done in accordance with San Joaquin County ` <br /> ' <br /> ordinances, State laws, and rules and regulations of the S � <br /> \��neu� r~�vc���_ --- 4;o�_- -4,114 r:� <br /> -'--_--.---_-- <br /> � ` ' - <br /> | FOR DEPARTMENT USE ONLY � <br /> _ <br /> aPPL|C/(T|[)m ACCEPTED —._-------.- <br /> � ------------- <br /> REVIEWED DY'''---�-'--�-' ---------_ ------------ DATE-- <br /> � <br /> BUILDING PERMIT ISSUED-----_.' '- --'''—'-'''-'''--_-''''--''-''''-- <br /> Altnrmt|*nv and/or pouommon6ations--.--------------------------------------------------------------------------------------------------7-----_________`_`___-_. <br /> . ' � <br /> --------'--''''---'---''----'---'''--'--'''--''--------'---'—'---'---'''---''------'---'------ <br /> � <br /> —'--'--''--.'---_'__.'�'_-''----'''_--'---'-''-_-_.''''-'''-_.'''__'''---''-_.'''------_.'--'--- <br /> � � <br /> . _-__--''-_-'-----'''--''''---'''---''--'------'--__''--''----'-'--''''-'''---''__--_''-''--- <br /> . --''-'''-''-- ''''-' ---------------------------------------------------__---�.-_-----------. -._------.----_.. <br /> - � <br /> FINAL INSPECTION BY -----.`- --',---`^—. Date--- -----------------------------�--..----------_-.--- <br /> ^ ^ ` <br /> SANJOAQU1NLOCAL <br /> ' '�� �TH ^DISTRICT, <br /> "-^~ \ i � <br /> ` /xn South American ��� am we� O° s�°° ^ `� mxSycamore s�°° . � . , ow North ^o^ sfr°° � <br /> ` <br /> Stockton, California Lodi, California w"^tev" California rmc' California <br /> sS-9-2w m°"a°* 1-57 ppzo <br />