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APPLICATION FOR SANITATION PERMIT Permit No. <br /> \ <br /> ���mp|e+� |n �up|�oa�a � <br /> ' ` ' Date IssuedApplication is <br /> v <br /> hereby made fothe San Joaquin Local Health District for upermit +oconstruct and install the work herein des,�6o6. <br /> This application is made in compliance with County Ordinance <br /> ---------------- <br /> 0 410 ontractor's Name----------------------- _-Do-------9-.e------- ;_ _�ff <br /> � - ( <br /> Installation will serve: Residence /\portment House ElCommopcio| [] Trailer Court [] Motel [] Other [� ' <br /> Number of living unifs: ^^&~Num6or of 6odpopmo 9. Number of baths /--- Lot s|ze ./-------' | <br /> � ��` <br /> Y�� Supply: Public Community system El Private F71 Depth tp Water ft. <br /> Character of soil to a depth of 3 feet: Sand Cj Gravel E] Sandy Loam 0 Clay Loam El Clay El Adobe)� Hardpan <br /> Previous Application Made: Yes E] No New Construction: Yes E] No <br /> X. QN <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: 111Z�, <br /> (No septic tank or cesspool permitted if pu6lic.sewer is available within 200 feet.) q11�1 <br /> Disposal Field: Dislance from nearest we]-AIN -Distance from founclafion-1-1,140- ----Distance to nearest lot-line__%%V;----- <br /> See.pa e Pit: Distance to nearest 'Distance from founclation__alY--------DP' tance to nearest lot.. line-_45-------------- <br /> --- ---------------- <br /> I hereby certify +ba+ I have <br /> rod this application and fhthe will be done accordance with San JoaquinCounty | <br />' <br /> ordinances, sp <br /> (Owner and19w Contractor) <br /> ......... <br /> (Mu+ play <br /> . showing size of lot,' <br /> location ofsystem in no|a� -� hxwbuildings,". 6u� �n�s. e+�. can be p|uco6\�`----------In r, side). � <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED <br /> kEV|EWED B _ --------- ---_. -----_ Da|� <br /> BU1LO|NG PERMIT '''-'''''-- ___-''''' -''- <br /> D�TE'-'�����''''-''-''--_--_'- <br /> 4Jtera+ions unJ/n, rmxnmmnnJuGoo,----------------------------------------------- -_._-_---._-___--_'-_..---.___.._____-._. \ <br /> _-_---''-'-_-'��'---''---''-_'''---,''-.-'''''-'---__'-''''�''__.'''_-''''-_.''''''___---__----- <br />� <br />' —''----'-'----''---�''---''--'''''--'-----''''------'--���--'------''-'---'''''--''-----''-----' | <br /> ._._---_-_.--__-_--.__-------_-----_--__----__----__--------__—_.___. ' <br />� --'--''--'--_-_-''--''_---'-_''''''�---�-_'''-- ''-----'''''''--'-_--'''''''___�''_'-'''__--_---. � <br />. FIN/\L INSPECTION BY:.......'f1;1�/^���. ------------------------- ------------- Date--- ��- -- <br /> » ' . <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> oo South American Street 300 West Oak Street /32 Sycamore street ow North "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br />