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s <br /> Odae <br /> 1Ns fsnntE E�gri,n..`I Yew%f r�Irra � , <br /> ...... <br /> Application is hw*y l"fa°fhi t6i n trr+eerl t `tfmkt for a peq; conitp�tiot wnd iostgll !hs► work, <br /> Thfie,a rpl e#lon is enade in caiina wide Ca"y 0^11Aana No: $49 a w extoft use ow <br /> JCB ' <br /> AESsl� �� ,�� ��e�.s•.��� <br /> ►'a Name C? . ic ...... .�ls.cr,?�?: ...................................... //////��� //y/+►►► (���r.i <br /> ...r,�.a. . f 7cM....... <br /> Addross % ..rr <br /> octa's tcerree y•-, ..: k .. ... .,......... ..Lioenso ...,, . t .: ... .. <br /> .� <br /> l astailiation w'*saw Residence►D Ap l*0''108mrno 0Tral{or CAwrt <br /> mom p Odw.. ,cr ,ls. .. . ............... <br /> -.Numlw of living u#Wss_.: .--- Number of b oo ..--gam .. u�t l� <br /> Wt and .... ... . .... . ... <br /> . . .............. . <br /> Ch;W* of sollf6aclepthof 3 fit, Swulo Siltcloy la, Pow 0 So*Loan 0 0ay Lown 0 <br /> f: <br /> Hardpan D A ti+hrlAwrial 11 iol ` <br /> rs,;fyp. <br /> Oat pkat, showkw size of lot, tocation of $ya orn in muton to wells, b <br /> eeN+ rs, <br /> (No aeptk tank or seepgp pit psmnWW if <br /> public :ewer is we 3f�bArt,� _ <br /> EA "I TREATNJtT I I 3611M TAW ....... , <br /> Matiae�kd. .........._........ No. Lm .....�..,... .. ' <br /> Didanco.to nearest: 1Aietl ...... .Foul . <br /> I:E,A W LINE l No. of t utpth of +rade tiMe. Tarot t ... <br /> 1W I" Type filter mal ....................ter. f alter M iff s .. <br /> 0istcw�ae to nit: Wath ... . _.. F lore «-� ............ Property l tee�t <br /> .. .. <br /> SEEPAGE PITp <br /> Y <br /> bepth .................... tll�nefiar .............. trio Rock, . <br /> Waiter Table Depth Sin <br /> Distance to nearest: Wall ....Foundatiar ........................ Prop. L <br /> tlRAgt/�iiDltMtiPray. Sanitation t'+srralt+ pah AL7. , <br /> Septi TW*Opecify Requirements) <br /> .... ... ..... .... <br /> teEdDisposal uent :..... ....... .... " <br /> ! ;- 10raw exisfi�sad req�ubvd+culetWm are revere sWQ �+ <br /> 1A.nbY eerft that f have prepared this appiamm aw %Wk Wo be sone in ate' A t taw met.. <br /> °-40ml t Qrdireauuras, StOft LOW, seed Rules I OW 6wWWom of the Sm lsapgviA LoW M Wa 910". mom"*wart or Now <br /> sad"amft si$ ahme somes the followings <br /> ,.f Ty OW In tom► �.. <br /> perf/1rfA0Ate of She we*f6t wtIlr `pwo*is hamo4 t sw not -12, : �' pIM11AAM <br /> or to**Come,"led to W*km n's laws of cs ufmft la." :. <br /> .1L"a.:. <br /> BY . t. . ....... .. ... ... Title ........ .. . <...... <br /> ' Of other hon owned <br /> FMR tl Ttettt tJSi# OMY «' <br /> APPLICATION ACCEPTED" .. V- <br /> -by <br /> ._.iUILDING PERMIT ISSUED, <br /> �ADDITIONA! MME .... <br /> ., . d. tDATTEt <br /> ......... , <br /> twat Inspection by: .. t'l <br /> ..... <br /> RH 13 24 1.68 <br /> SAN JOAQUIN t.00A1''�,jtWTH DISTRICT <br /> ` , <br />